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<br />.1' <br /> <br />'.. <br /> <br />!. ~ <br /> <br />CITY OP ZIIPHYI\HILI.S PIIRMIT APPLICATION <br />.UI~INQ DCPARTKsNT 53l! ," STR.~ ~.PHY.Hl~~.. Fu 33.'0 <br />.bOD.,1l13.,eo-aoao ,-.lll-nO-GOal .. " <br />. PAT. ucarve. .:..._="__._ <br />PLANS ItltVIlIf lPj._,_~L.'_'_'__ <br /> <br />H u t:.1f e S l?HONE CDNTJ\ c~_"--'--"'--___ <br /> <br />f 9-r1t5r __=--:-~=.____.____~._ '__.. <br /> <br />OWNBR' S I~Nlq fl1/f n y <br />JOS SITS ADDRESS S 5'01 <br /> <br />LSGAL Ol9CR1PTION, LOT (g) <br /> <br />BLOCK <br /> <br />BI.JBDIVI.. LeN <br /> <br />__R_.._.__________ <br /> <br />---- <br /> <br />l'ARC1!lJ, It! # <br /> <br />(OBTAIN FROM PROPERTY TAK NOTICE) <br /> <br />won: PJl051SS0 I [:J lU;W CONSTRUCTION o ATlDITrou o Al.TIliRA'rrf'lH CJ RBPAIR o nvSTIU.I. <br /> OSIGN o HOVE 0 DEMOLISH <br />PRO "OSIilIl tJSII. DS03L I'JUoIILY PWIilLLINQ D~lUt.'l' r -l/'AMILY 011 011' UNITS [J MOIi nit 1IDt11i1 <br /> o COMHilRC lAt. D I.mfJSTR IAl. o SlnMMU~G POOL o OTHIlR <br /> <br />------~ <br /> <br />PlilscaI,TION OF WORK <br /> <br />CJ RIl8TAT.J!lIU'lT .. HEAI.Tll OIllPARTl1l1Nl' APPROVAL <br />_-.11... C fl. 00 F ..? b 'qj <br /> <br />BUIT,!HNtJ SIZR <br /> <br />...--..--..-----...--- <br /> <br />"QUARE FOOTAGE <br /> <br />HllJfl!lT <br /> <br />----------.- - <br /> <br />i!.lilIlIPIllNTIAt. I ATTII~~H (~) PLOT PI.ANS " ':i i Sill'S OF BUII.Dum PLANs 10 (1) SET IlfolKlltiY YORt'IS. <br />COI'IM!l.-CIAL. A'l"J'ACH (J) sirrs Oil' BUi'r,O!NG PlAN!l " (11 es'!' ENIi:R(jy FORMS. <br />PROPIIRTY SUftVBY ~aOUIRll:O FOR A~L NSW ~ONBTAUCTrON. <br /> <br />G IIlILDINIl <br />C) BLIiIC'fRI CAt, <br />o PLUM1UNG <br /> <br />Co <br />. :2... 406 ~.-- <br /> <br />P BRMI'r!L&l.Q.W.irlm <br /> <br />, VALUATION uP' TOTAL CONB'rPfTCTI~lN <br /> <br />AMP ,9I1lRvr':;:'1IJ <br /> <br />o FLORrm~ PQIIlIItl. <br /> <br />o \'I.R.a.c. <br /> <br />o loUilCHAN:rCAL <br /> <br />~ <br /> <br />-- VALUAT!ON OF Mi!:C!iANCl.P.L rN9T'''Lt.ATION <br /> <br />o GAS <br /> <br />() ROonna <br /> <br />o SPIlOIAI..'t'y <br /> <br />CJ O'THBll. <br /> <br />T~PR 0' CONSTaUCTION; LJ BLOCK <br />FINISKIIP Pl.oCR Ilr,IIVI\TIONlll <br /> <br />o I1'RAMII <br /> <br />o ilTillI!. <br /> <br />o OTHiliA <br /> <br />re PRCXTl!:O'! IN FLOOD ZONE ARIilAt:J Y'1IIE:i <br /> <br />ot:o <br /> <br /> <br />aUILIJ.. <br /> <br />COMPT>..~y1!;(orFITr+. H, C.K'7. fl.oorl.A~5?L (IV L <br />STAl'Pl CfiiRT eR ftll\1181';.4' _!?fff-C 1.. 7~ <br />cay PROCIISBIlKi II 0'7 _____ <br /> <br />s rOt~A Tug <br /> <br />lILIIClTJI I C tAN <br /> <br />.P.'.~.*...*.~.~.~...*....**.~'~~~..*.**~A~~'_._ft~~*.****.....**;. <br /> <br />BI3NA'fURII _________. <br /> <br />CONP1<NY __ <br />81'1.1'2 CilRT OR REQ!O'!' il <br />- CITY ~p.oc~aSINO # <br /> <br />-----.--...------- <br /> <br />-----,.--- <br /> <br />PLUWBIIR <br /> <br />..*.*...*....**~*.~*....~..,~*.*......*.~*...*~~.......*..**...~~* <br /> <br />-------.--..--------- <br /> <br />6 IOHATI1RII <br /> <br />COMPAla'____. <br />STATE CERT OR RBQIS1' ~ <br />CITY PROCII8SING _ <br /> <br />'- <br /> <br />MJlCKAHICAl. <br /> <br />A*.~....*...~~..~~.~*~'*t.*.~....*.W..~.".6~a.*'.....*.~*....~..~ <br /> <br />BIGNATURII <br /> <br />COM "ANY <br />!ITA'!'! CERT OR Rt3u'r 11_ <br />CITY ?RCCaSSING # <br /> <br />O'I'HDa <br /> <br />.....~.*..***....*...~........~..*.*.*.~....*..**.**.****4_..._.. <br /> <br />COMPAtlY <br />STATII caRT OIlii:iGIST II <br />CITY PROCElIlSnlG " <br /> <br />------- <br /> <br />sr<iNh'l'UlIlI <br /> <br />--~._---- <br /> <br />.'*.~W*~'.~"*~.'***.*~*.*..**~.*-**........w.*.t*~.t.~~*~..*.~*~ <br /> <br />----------- <br /> <br />'d <br /> <br />tt6,; . 'J f! <br /> <br />)iliHdAHd3Z:JC i!J) <br /> <br />hdt,,::: ::Uu:,." '1: <br />