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<br />11~;J'oSVE <br />I O\1NF.!IR / S [,iAt1Bl ---I6J~_S-LfJ__t?_f-:_____\:) \~_~_________ ____________ PHONF.J C'()N'I'1\Cf~2?,L'J 'f~?<!'(!2 <br />,TOE S I'l'F) AnnRBlss_~j_'ilfJ} ___J-:J~_c!:)lf)____':-_\;J e______u"'?_~ pJ}'pYI!!l~,_ ----eI--_22~_'tl?_ _ ______ <br /> <br />CI'J'Y OF ZHlPHYRHIIJIJ8 PERMT'll APPIJICA'l'ION <br />BUlI,llum lJEPAR'l'Ml!lUor 5335 8th 8'rRHlHl'r Zl!lli'lIYRHtI,I,S. 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SII <br /> <br />PROposrnn USE I [Ism, FAI'1ILY rMEI,I,JlI(~ <br /> <br />[!r'1UI/[' T - F'J\r1I L Y <br /> <br />[J# 011' UIH'l'S <br /> <br />LI f.!OB I LE 11011111 <br />I] O'I'IIEJR <br /> <br />[1 ('(JI'1~1ElRC 11\1 I <br /> <br />[] INDUSTRIAl, <br /> <br />[IS~HI-1MJNG Pnf1l, <br /> <br />IJl1J8C!R I PT 1011' (F NOHt< <br />Bl1IL,fJINI1 S H~J1l <br /> <br />L~l ~l1JST1\URAHT & HEAI/l'It DE:PAR'ft,Unn APPROV/\I, <br />J n!-l/!-L~A.-tt.~~--~___,L_~~__?_r~J.~":f--~-~~-~~~__, -,-Jj-~-~PE1~~---_!!-=h.~~ <br /> <br />-------------._--~- <br /> <br />BUt/AREJ P'OUTArm <br /> <br />RES I IlJllN'l'I A T.I <br />COMI,1E1R(!I J\l, I <br /> <br />-------_._.~--_._-- <br /> <br />II FlI !GIl'!' <br /> <br />A'l'TJ\CII (2) PLOT PI,J\HS & (2) SETS OF BUIr,Dnrr~ PLANS & (l) SHlT ElNIllRGY FORI-IS, <br />1\TT1\011 (3) SETS OF BUILDING PL~lS & (1) SET EIlERGY FORMS, <br />PROI;iJllR'l'Y 8tJkVEY RBlQt1IRElfJ F'UR AI,I, HE!M CONSTRt]('TION, <br /> <br />i' ERMI11~L.-RBlQllE~ TEU <br /> <br />[J BlIJI,llllW <br /> <br />$ ------'--------------- VALUATIUN OF 'l'O'I'Ar, CUtTS'l'RUCTIOl! <br /> <br />[I HlI,ElC'l'IUc!1\I, <br /> <br />- -- -_.....~. ~-.._--.~- "--"."-.- .'--. <br /> <br />Af.1P S!1JRVJc'EJ - <br /> <br />Ll <br /> <br />FUJRI/JA PO\~ER <br /> <br />rJ <br /> <br />\1,R,IJl,(!, <br /> <br />r J t'I,tJI'IB TlI13 <br /> <br />~tJ r'lE!CIIAH f(~J\J <br /> <br />$- ..------.------.-----------.-, <br /> <br /><2.., LI S; 0 <br /> <br />VALUATION 011' I1ECItANc!IJ\f, 10STAI,I,/'\'1' LON <br /> <br />U r~1\8 <br /> <br />Ll R(JOFINr3 <br /> <br />LJ SPEC IAI/I"{ <br /> <br />[) UTIlER <br /> <br />'l'Y[.l1ll UF ('UlIS'l'Rf1C!'l'lON I [J Br,neR <br /> <br />[I FRl\I.m <br /> <br />LI 8'l'E:Ii:L <br /> <br />[J O'I'IIElR <br /> <br />FJH18I1E:n P'I,I)(JR Elf,E!iVA'!'I(ms <br /> <br />-----.----.-.-- <br /> <br />IS PRO,JE!l(!1!' IN F'LOUf) ZOlflll ARElA[J VHJS <br /> <br />[f NO <br /> <br /> <br />BUl:I,UBR <br /> <br />81t'~11l\'I'lJ!1E: I Y . <br />v+'--.--~-.__._____w_.___~_____~___.__.,__._~_^_. ________ <br /> <br />COMPAtTy ~_________._____,__________.._________ <br />STl\.'I'E CElRT OR RElCHS'!' II __________________________.,_. <br />CITY PROCESSING It <br /> <br />~********~****~~***I*~~*~**I~*******'*'**'**"**'***"'*"*"*'*" <br /> <br />-.--------------- ---.------"- '.---'-_.-. "- --. <br /> <br />lllLJlJ(!'l'RIUIAN <br /> <br />Cot.1 PAN Y ____.___________. ___'"______'______~______. <br />STATE CERT OR REG 1 ST II <br />SImlA'l'lJRE '--------"-------.----.-______,__________________ CITY PROCESSING It <br /> <br />._~._--_._----_._------- <br /> <br />1i'I,UMBIR <br /> <br />'**'*"1*""*****"*,**,*,****",*"**,,,*,.,,,*,,*,**'**'*"*'*' <br />\ <br /> <br />------~..__.__h~._______. n~___._____._ ~_~ '_ . <br /> <br />---.- ---- ._._--~~---~-_.._-- ..- .-------..----- -.----------..--- <br /> <br />c 'OI/IPMTY -------------_____... _h '--'----__'h._.__._____. <br /> <br />8Tl\1'El CERT UR RE<.HST It -------____h_.___.___, <br />Cl'1'l' PRCJCEf:lSH/(~ It <br /> <br />S J m1ATURHl <br /> <br />8IGWI'I'IJRllI <br /> <br /> <br />* k * * , , * .' , , , , *1 * * , , * , * , *. * , * , * , * , * *. *. * , * I * I. * * * * * t * * I * * * k * I ., *. *J! ' ,/,' * * I J'~ <br />A c. S Re F ~ fT' tJ, A . c. I tv l::. . <br />' C0fI1PlI1fY,____,________________.____,..__,_________....,_. _ ____ <br />STATE C!ERT OR PEJ(~ 1ST 1/ <;.!3-'=.9_tz.:i..?_6...8.____, <br />-________________ CITY PRUCESSr~m ~g_~_~___________,___ <br /> <br /> <br />"'***'**'**'****I***********"**'*'*~'**'*'*'*"'*' <br /> <br />--~-------~-----'~--~'..____n._.,,____.__~._. ~ __,____ <br /> <br />MI(!HAN!(~AtI <br /> <br />O'l'UJ!lR <br /> <br />---....-._.._'--_._-----_._""--_._---,-~---------_.__._._,-_.~-_.- <br /> <br />---..__M____.__.____.____.. "_._..~___.__~_____ _ ..__________.._~ <br /> <br />cm1PANY <br />STATE C'HlRT-rjRRi.i1reT"/f----------'---------- ----" <br />r'ITY PROCESSING tl ---------..---_ ________ <br /> <br />SWHA'l'IJRE <br /> <br />'*"'*"'*****"*'**'*"******'**'*****""*'**"*'**'*'*"*'*'" <br /> <br />.. ---_._._.._.~--._~_._--._~ <br />