<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. Fr,3HI4lJ
<br />PhOlieI81.3-'180-0020 l"8'tI8.l3-7BO, ()()21 ol/'1 '"07..
<br />!JA'rII RRmuvmD 7 I J II
<br />PLANS RIVIIW FII
<br />
<br />L III GAl, DElS(!RI P'l' 10111 1,01' (8)
<br />
<br />BI,OCK
<br />
<br />SlJBIllVISJOI1
<br />
<br />P1\RCHlf, ItJ #
<br />
<br />---.----...--..- --- - .-.. .-- -.. .-._-""'~'.'-"-
<br />
<br />IWRK PRUPSElD I []NEJW CONSTRUC!T!ON
<br />
<br />-----_.--~------,---, ----- --.-_- ------------------------- '--------------.. ------_____ h__ ____ ______________________
<br />
<br />(OBTAIN F'Rot1 PROPERTY TAX NO'['Ir!El)
<br />
<br />[J l\.!lIH'I'Ioll
<br />
<br />[J AI /I'E:Rl\.T ION
<br />
<br />[J REPAIR
<br />
<br />11 HlS'I'AT,I.
<br />
<br />Us lmr
<br />
<br />[] MUVE]
<br />
<br />IJ DElI1OJJ.! 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 />
|