|
—li
<br />�
<br />� �93-?84-00�0 �I�t������l�f��l�{�� ��P�Yi�$��)��I��$I�i� �ax 81���a040021
<br /> f �� ,. �uilding Deparimen4
<br /> ������celvmd �
<br />� � _ � �������eaY�a�R`$����t�i4��� ���=�r.=.-��_— –
<br /> � � _ -� � ,
<br />�i �,���p�����,� � �i e: . � �� �-c:�� � ���,� �� �:��c��� ���������������� �����-��l�J 4-�Q�Q��"�� �
<br /> ;
<br />' ; ���..,r. . c:�,: i
<br /> �v�r�t�r'a 6�,ctdP���. �.��1' d l.� �� �`_�'�-C� 6._� �rsr�c�P��Po�n��1a�r���P �...��...�.... ���i.�� 6'"�� i
<br /> ���U�u�l��'l41�1��1�9�rt��e�� ��:�`���� _ � ��s�a�e���r���9c�rr�b�r � � ,i
<br /> f'�'
<br /> `' � � '
<br /> ���i���9��'i4i��oB��e��e�sa ����1•.��—. "
<br /> ��� � �' ,r ..� .,.�.. � , ��
<br /> ��...�. A �~� r si`� ` ��
<br /> ���+I���k�.�O'.�i - ° �_ ��}�4''� t._.:��C��— ��1.1i_il�r-� l� ` ���s�? �Y�� �
<br /> u��ivi�ar��v �..�������1• � . �����i�� ������.����'�-� .,�..��I �-`��4�(�����i /�
<br /> �� ��
<br /> � �(l)DYAIWE��ItOPA PRUPERYtf YN("NOYICE) ,
<br /> ►CD�CC���9����p ' NEW COiVSTR• A��/�4LY' �� �IGN � � �EMOUS�i �
<br /> � IIVST'ALf� � Ft��P�tR �
<br /> ���c����;��� �. s��a � �a�M �►�a��f� (��c'�—�-"-�--' ±:c�.�--� � I
<br /> ���c�������r����o��s � ��.�c�'* � ��,aM� j s,����. �] � � ;
<br /> i
<br /> E�c�;i�v��rv���wt��c¢ � � —w� ���,�� � i
<br /> (�tL�i�9�`s�i�� ��P���'�tA���� 6���V�C95' �� ',
<br /> °- k;�"!�4'�'.-�. �C� i
<br /> , C��Utf.Dl�tCs �:�� VAI.UA1'ION`"���'OTAL C�NS'Pf�UC;�'IOIV {
<br /> L / i
<br /> ��L����lGRL �5 r� ���3� ,�M����Vi�� �� �� ���f3��55��1�Rt�Y/ [� W.�.�.��. i
<br /> � � � � �
<br /> C���u►����� �
<br /> f��.,�.� � !
<br /> C�nn�c���vicRL g v;��u,��i�sv�t����o�,��v�c�������,�.r���o�v
<br /> ;
<br /> C��p,s � �oo�Er�� [� s��c���.�r �� o�N�F�
<br /> y1SHl���'LC7t)R�L�V,0.510NS ��� F1�C�0��Ot��ARE,R �YES. i��
<br /> �"�'6�C° " i�;"�" ���C�°-r��4 r� �. '�r:�" C�?�`r
<br /> )IL��;� ��M��i��i �.�� �
<br /> �1�4�`��11�� R�GIS7ERED �Y I 1�3 FEE GURR6tti Y 1 iv .
<br /> A�dP��a �Icense# � _�,
<br /> ,����Pe�f� e c����v� j�:���-`� �`���.� �-�.��'�°`��]
<br /> .��t`�Y10�� � � � REGISTERED ��Y I 1VM�FEE 6UFiRER Y('1�
<br /> ���arr�sa� ���� � � p��� - °-Lic�rise#--�..a �La�i���;"�����
<br /> �!tl��i�� C�t�I��19Y �.�..� .�..,��
<br /> "s��4Yl��tf�, id�GlSTERED ��`1(/��V FEf GURREP Y 1�' i
<br /> �,���P��ss� l:icerise# � �� �
<br /> i
<br /> I
<br /> i��i�.���'nL� ' .,�5'��i���Y _ i
<br /> v_.,��em..�.
<br /> i
<br /> E
<br /> $1>4���UF2� ' RE�ISTER�D ��f:t tV��=se cu�e� �Y t-1�':
<br /> �dpir�ss� Lic�rase# �- ] ;
<br /> � —� 1
<br /> td�� . ��1}fl��lY ��� ��
<br /> i 3R9D�111,��� REGtSTERED ���(/ �� ; rE�CURREfl _Y.�I.��--. �
<br /> AadIP�� �� . � � L'ICeP1Se'�$•� � '�
<br /> �
<br /> ~?�,}r'� �r�9�#'�ri' , �, ,�' f'i-V�Q�''��fi4
<br /> �1��1�'�i�„ A�Y�ch(2),:�loQ�:.F!lans;;.�2}:��fis�cs�;�uiltli�tg;P!I�ns,`(9}';�f o��Ei�e�+gy�Foims,`F3���W P�PYYtI�.�OP P18W CAP1S,ItYJCflOi1� +
<br /> -1U14n1murt��4�r�;('i0jiwortting�tdays,aft�e,.�ubr,�144a4°dat�:�R�quleed orislQe,��or��EeucSuri�Plar�s;�S4o�nw�4c�r�P'lans w7 Sflt�'en9e lnsE�Ned, .-
<br /> Sanf4a�i 5ec►Ilii�s;tt�^1;,dumpst�P;.•SI4��Work,PeerniQ.for sutidivlslonsAarge;�r�Jmc4s . " : - ;
<br /> taRtiN��C9�l. AttAoi�(3pcompleg�`s�fs"o�Buildiric�'�laiis pius a�Lif�aafety Page;('i)sst�ff�nei�y Fa�vrts.�aO=W P�rmit Fae newi consiruc#ion. ;
<br /> Niinimum 4en(90}woetttng days'a4�er subm{tfai da4�. F�B�UIP��4Yi5�t@�:�or�s4ruc¢lun�la�s�SRO�1tiW�E@Y PlaitS W/SII£FU�1C8�P1S4�{Ii9�, ;
<br /> S�nit�ey F�cilitlr�s tG 1.dum�ster.Si4e Worlc P�nvtl4 for�Il n�w proJ�c4s:All cummE�ecial:eequlr�men4s must m�et compilance 'y
<br /> iR���t�i`�i'Y Att�cti"(2}"s�fs of��`rig,i'n��r,�d;i?lan�.:...,.;�:� • " �
<br /> ooQA�RC9F�ERFY�U�V�Y eequir�d.�4��tt.�l�W c$r�s4et�cY�oc�.. 1
<br /> � . . . . - .�, �-.�.-.�rT�,���-.'�R'� . .. . �w
<br /> ��fi�e��: �
<br /> Ffli tsut���tic�4lon Cot�'tp1�Q�ty.
<br /> Owrier 1��n¢r�ctor slgn b�ck�of��Opllcatlgn.rro4arix�d
<br /> Ig�v�e��;i60,�R9�41cca o�.Ca�sn�tmvuc�rr�caw4 i�P�qaafP��. (�/C ea��rr�d�s�ereP�Y��O)
<br /> Agent(4or 4�e confractoe)�crr�Powap ofi.iA4t6i��y(fior 4h�own�e)wauld b�someone with na4ari�ed lef��r�m own�r autharizing samo
<br /> �f��'�0����9�9���,�(��t�7EY�Y�9� •(Fron4 of Awt�lication Cfn1v) , • . , _ .. ,
<br /> . �"Y' -. ._ , a ` 1 _ 1 '
<br />
|