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<br />PERMIT #I <br /> <br />Monu,s / MAI~u'F^CrVIlfD HOME SET.UP <br />PERMIT APPLICATION sU'n"LEMENT <br /> <br />APPIiClnt:z;i;-G ~r _101/111$ ~ <br /> <br />Address -ff.'S'3 8NfJ1ADMu/"t!l6lAceT- <br /> <br />- - <br /> <br />Manufacturer's Name LLfiL,#t.__ <br />Roof Zone _:::Ir. _ Wind Zone ..;;J;t;:-_ <br />Nu.mb~r of Sections -L_ Wldth ~_ Len,m .:l.. i-' <br />Manufacnarcd date -LY-C ~ <br />Inst3llation'tandard used (check one): Manufacturer's manual ___ <br /> <br />Year 1 77 "'-- <br /> <br />lSC.} '1~~_ <br /> <br />SITE PREP ARA TION: <br />Under-home (ride cleaned of all vegetation and organic material Y <br />Sloped for proper drain.,e ~L <br />Distance (approx.) between finished Ifade and bonom of I-beam(s) (Y); m /311 <br /> <br />FOUNDATION: <br />Load bearing soil densit) · / S CJ(J assumed 1,000 psf __ <br />· (Attach penetrometer test results per the requirement on the back of this form) <br />Ma.inrail frame blo<:ks: Size //'J(/(p Placement OC ~_ <br />Perimeter bl(Xkini: Size .,~ Number !/ Locarion DD!?Bj <br />Ridae beam support: Size}( Number _L- Location X <br />Center line blo<:king: Size)( Num~r _ X_ Location --L-.. <br /> <br />Anchors (type); 6,000 ______ 4,725 ~~_ <br />Anale of strap LJo - !;o...Q.e~ <br />Number of frame tie. .1. tf'. Spacini 5. L/ OC <br />Number of sidewall anchors -LL-- /'IUM lUA of LOi'll"~D/,.1 77.'....B.- <br />Number of centerline anl:hors ~._ Number of stabilizers __~_ <br /> <br />1n...Ueror Enllineer~~___.______ <br /> <br />State LH;;en..'.O.Q..Q.t:J..5.1D..__ .______ <br /> <br />REQUIRED ATTACHMENTS <br /> <br />1. FOUNDA nON PLAN, TO S<:ALE. SHOWINO <br />SC'PPLEMENT AL INFORMA.TJON. <br />2. SITE PLAK (2 COPIES), TO SCALE. <br /> <br />..'a\m~.trr'\I~"'" (re~l_ July l. ! 91>>9) <br />