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Date ftecel -7 Phone,Contact for Permitting <br /> �axszuzzcnxcaOwno,'sNania i.EdwaLed Owner Is lumber <br /> Ownw's Adclrosa[ AO-3 kzi umber WA Owner P one I <br /> Fee.3imple Titleholder Name Owner P one 'lumber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS) C. 3&1.->4 LOT# <br /> SUS01VI3ION PARCEL 10# 0-axpco- 042%3 <br /> (OBTAlf V _IkOhl PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT Fl] SIGN DEMOLISH <br /> El INSTAI.I. REPAIR <br /> PROPOSSE)USE J SPR COMM OTHE <br /> IYPI:OF CONSTRUCTION BLOCK FRAME. STEE <br /> DESCRIPTION OF WORK Si 2-?- 5! <br /> 9UIL0INGS0- 3QFOOTAGE== HEIG T <br /> •.1 LIZ I:=, <br /> $ ---19 <br /> 1�4EIUILOINIJ VALUATION OP TOTAL CONSTRU TION <br /> IS �31 <br /> AMP SERVICE P OGPESS rNER6)Y Cl W.R.C.C. <br /> VALUATION OF MECHANICAL INST LLA (ON 2,0 <br /> ROOFING SPECIALTY OTHE <br /> ]CAS r <br /> INISHED VLOOR E:I.Evxr[ONS FLOOD ZONE AREA ]YJIS NO <br /> .....-....I...-" JttH+�"i <br /> rrrr I <br /> ('OV <br /> Ull-�)ER OMPANY L 0 14png- LLc <br /> 11 L uv., <br /> IGN'A.TURI` gt�jl 6, REGISTERED 7-M-I I FRE^.URREh N <br /> _jr?I- --Y <br /> C64 i-T"ANI 7 <br /> &L <br /> C <br /> T <br /> -f:C VRICIAN COMPANY E I <br /> REGISTERED Y[IN E CURRI!h =Y -N G'NATURi: <br /> nf Addloss <br /> .UIYIIIER COMPANY <br /> 3NATURII _._.._�_,--�` un—Rit,REGISTERED T Fir;Z7 <br /> j%ddress <br /> :CHANICAI COMPANY <br /> 3NATI. REGISTERED <br /> Address Llc4so# L— <br /> HER [__---__�_ COMPANY <br /> WATURE REGISTERED .1 Y/ N rl- <br /> F CURREN L-1-IqJ <br /> Address Lical-D tf 7— <br /> i-I I 1 4 f I ...... W+i++fH"-t +t+ +H+hW-F+H-++Hi+H+t-H+H+H+H+i-i-M <br /> 310iENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W uallon, <br /> fArtlaturn tan(10)working days after ItUbmiltal date. Required onslia,Construction Piano Stormwater Plans wit Silt Fence Installed, <br /> Sanitary Facillileit&I dUITIPSter;Site Work Permit for subdIvislonsharge pro)ects <br /> IMAERCIAL Atlarh(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energ Forma,R-O-W Permit for now construction. <br /> Minimum ten(10)working days after oubmIttal date. Required onsilo,Construction tons Stormwalat Plans w/Silt franca Installed, <br /> Sanitary Facilities&1 dumpater.Site Work flermit for all now pro)ects,All comni.lc at raq Irements must meet,,orripflance <br /> N FERMIT Minch(2)sets of Englneored Plans. <br /> 11-PROPERTY SURVEY required for ell NEW construction. <br /> 1a1n3===l7:tI=rM M3=1 X= =I:rrr?TrC1 3 11 rt =(:I:=MX0MMTM33=1 <br /> cilons: <br /> ;iil out applli:atlon completely. <br /> 0,-,nef&Contractor sign back of applIcullon,notarized <br /> I-Ivor T2.601),it Nouco of Commoncoment Is required, (A/C upgrades over!17))00) <br /> ,c.pent(ro,the contractor)or Powor of Attorney(for the owner)would be someone with notarized let or fro n owner outhotlZing fiarno <br /> R*rHE COUNTER PERMITTING (Front of Application Only) <br /> ofs it shinqlai: snwars Service Upgrades A/C Fences(PlotfSurvey/Footage) <br /> ritiveways-Not ovar Counter If Ott public roadways-naeds ROW <br />