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� Buiiding Department
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<br /> i Phone Gontacx for Permlttin �b Z�, " -`
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<br /> own�a�`s Namr� .��v�V_.t—��`'�'-�._._ ._._� Owner Phone idumk�er � � 3_„_7$3 '$C �?�
<br /> Own�z�'s�dolres:��..� "��� �d�i �7� .W..__ �� Owne�Phone Numk�er C _...,.—� ._.____.,�
<br /> Fee aimpie 1'f4lei�o9der Ptame C �_ �� Owner Phone RSumkter C �� ,T �.�
<br /> Fea;ifmple'!'i41eho9cler�►ddress �_�_�r ,_ ___...—_ �� ._�.�
<br /> JOB�AaD6tE�S � �. SS'/,� 2o�_ST ze.p. h2Yh,(Is Ft, �3�Y�,.�. _� s.oT# �. �`____�
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<br />� SUBIDIVISIOfV [���,�����"7rlp� PARCIEL ID#CZ�2'�'`21-OC�z� `C��C70�C���-(O �^.�
<br /> {OBTA1NEd PlQOtt'!I>RQPERTY TAX H4TlCE}
<br /> WOR.{ti PR;OF'f)SIE[? NEW CUNS'fR ADb/AL.T C`� SIGN �� �I DE:MQLISH
<br /> E INSTA!_l. ��� REPAiR
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<br /> PROIPOSFD USE: � [� SFR I� COMM C_] 0'THER [,�_ �,�� � ��
<br /> TYPF:QF�U�iS3'RtJ�CTt�SN [� E3l.4CN: �� FRAMr C_� STEE� �� C�_� ��.�
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<br /> BUIL.DING SIZE C. I ,r,� �� ;SQ FOQT�GEC_� H�lGH'f ��n (
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<br /> [�13UIl.DING��; $ VAi.UATION 01=T01'Al_GONS7'RUG'TiC)N
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<br />� [���LI��TRIC'L � �� AMI'SERVICE � F'ROGRESS ENERGY [� W,R,E:.C,
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<br /> F(NISt-iED FLOOi2 E�LE:V��TIONS ���� �LOOC)ZC)NE AREA ��YES NO
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<br /> SIGtdA,TUi�tE .��?R, Rr�t'T"F►O!�{`'7f GA��ARC1_ REGISTEREb Y/ N� i'EE CURREM1 � Y/N
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<br /> PLUNlE3�R � CC)MFANY
<br /> SIGh1,ATUFeE � ` �_ REGISTERE[1 Y/ N��~ FI=E CURREP Y/N ��
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<br /> l�r�dress �- { --- �_ �� �Icense# C ^_� ^��
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<br /> MECt1rANitaA!_ �+ CfJMPANY
<br /> S1GN�ATUFtE i REt3�STEREp Y/ N FLE CURRE� Y/�1
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<br /> OTH[iFt � ` M � COMPANY C .—r` �_�— , �,,,,,�
<br /> SIGNr0.TUFgE ; _� RE�aiSTERHP Y! N� PfiE CUf2RE{�� Y!N
<br /> ' Asidr�ss �_ I r .�_� �� �.(cense# C��.. r�..�
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<br /> RESlI)I�N7'lAl. Attach(2�Piot Plans;{2)sats of Bullding Plans;{1)set of E:nargy F�orms;R-0-W Permit for new coristruction,
<br /> Nil�imttm ten�10}working days<�ffer submittal date, Required ansite,Consfructlon I'(ans, Starmwafer P1�ns w!Sllt Fence Insta4led,
<br /> :ianit�ry Facllitlos&1 dumpster;Slte Work Permlt for subdivlslonsllarge proJects
<br /> C4Mr�tEffG:tA1. E�tfach(3)compiste sets of Suilding Pians pius a.lylfe Safe�P_.age;{9)_set��Energy_F'orms.R-0-W._PQrm(t for new-cbns#ructior�---�f---� -
<br /> - � - -" Niinimu`m fen{10)working days;after submitfal dafe, Required ansite,Construction('lans, Stormwater Pians w/Silt�'ence installed,
<br /> :>anitaiy Facflitios&1 dumpster, Site Work F'ermit for all n�w praJects,All commercial requirements must meot cornpliance
<br /> StGN P'ERIVII't' A4tach{2}5ets of Englneered Plans.
<br /> *""i*PFt�OPERTY SURVE.Y requircad for�II NEW aonstruation,
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<br /> Dlrecf:faans: "
<br /> F�ill out ap�ilicailc�n completely.
<br /> Cl�aner&Contrac�kc�r algn back of appllcation,nc�tarized
<br /> lii�over�:?;i0�,.�Notl�e of Commencer►�ent Is re�;ulred. {A!C upgrades aver�7;iO4)
<br /> *" ,�c�ent(fov lhe�co i tractor)or Power of Attarney(for the owner)wouid be someone wi#h notarixed lett�r from owner authorizint�same
<br /> OV�i2.'tHE Ct)R1N'TI:,R P�ERMITTiNG {Frant of AEyp3ication{7nly}
<br /> Reroofs;if shingles � SE�wers Serviao Upgr�ades A/C Fences(Plot/Survey/F�potage)
<br /> L�riveway�.�-Not+���r Counfer if an pub(ic roadways..n��eds ROW
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