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<br />APPLXCATXON POR PBaKXT
<br />CITY or pPBDHILLS
<br />BUILDING DBPARTKBHT
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<br />ADDRESS
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<br />LOT SIZE
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<br />LEGAL DESCRIPTION: LOT(S) BLOCK
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<br />SUBDIVISION
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<br />WORK PROPOSED:____New Construction ----Addition ----AlteratiQ~. ~epa~f .
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<br />PARCEL 1. D. 4~
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<br />____Sign/Temp.
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<br />____Sign
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<br />PROPOSED USE: ____Single Family
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<br />BUILDING SIZE:
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<br />_Restaurant , Health Depart.JIeauApproval
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<br />RESIDENTIAL: ATTACH
<br />'Cot'IKERCIAL :... ATTACH
<br />.*COPY
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<br />;yJ "'5 M-A01
<br />~B~~~ING $
<br />_ELECTRICAL
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<br />(2) PLOT PLANS & (2) SETS OF BUILDING PLAN" (1) SET EN
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<br />PERMITS REOUF.STED
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<br />va~uation of Total Co~~~ction
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<br />TY~~ OF CONSTRUCTION: ~Block ~~~e ____Ste~l
<br />FINISHED FLOOR ELEVATIONS: FT.
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<br />BUlI,PER
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<br />. A~PLICATION APPROVED BY' ." r' '.".
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