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<br />V& ~~~n~~n~LL~ PERMIT APPLICATION
<br />IlBlPARTMIlIN'r 53 3!3 8 th S'rRmBl'r ZBlPHYRHILI,S, P'L 3 j Ii 4 0
<br />Phon.IB13~780-0,0~0 h)(1813-780-00:'11 , ' 'V5' /..
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<br />BUILOING
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<br />PARCell, ILl It.ll(- - 2'5' - -~-~-9..()/() - 0 U CD - 0 II L{
<br />~VURK PRCJP8ElIJ I lk}Nij:N CONSTRUCTION /Jl.-1'mDI'rION
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<br />o Al/rERATION
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<br />[j RBJPAIR
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<br />Li?"fNSTAT,I,
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<br />o MOVE
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<br />PRO!:JDBEfl U8E I ['~ FAMILY nWELr,rH(~
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<br />OMUt,'J'I.. FAMILY
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<br />[J# OF UNIT8
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<br />o INDUSTRIAIJ
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<br />IlESCRIPTIUN OF l'lORK
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<br />CJ ~NT & "OAl.TII DO T"ON, APPR&.',
<br />U-K 20 ~'~~C@'6" R"""...,.JZ j, ~!ff"-;--i?6.}:'3-~PM..~u____ .....
<br />SQUARE] FOUTAGE _ <?/fo IIB!WIl'I' ..'''-..--'.__._h_____
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<br />RES IDElNTIAI, I A'l''l'M!H (;]) PI,O'!' PIJA\'1S ,& en SElTS OF BtJH,lJING PJ,ANS & (1) SEl'r ElNEJRm' P'()RI"lS.
<br />(.'O~1M!!JR(!I1\rJ, A'I"I'ACIl (,)) 8m'rs OF BU!LDING PLAN8 & (1) BElT ENERGY FORMS.
<br />PRUPERTY SURVEY RElQUIRElD tOR ALL NEW CONSTRU~rION.
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<br />~JRMITS REQUESTED
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<br />$ -l~ ">31 ,7 tf,_-" VALUATION OF TOTAL CON8TRoc'r loti
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<br />VALUATION OF to1e:CHANCIAIJ IHs'rALI,A'I'TON
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<br />8TATE: CElRT OR RElGTS'I' 11~~,!!:L52~LR-z.::.__________
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<br />STATE C!1:R'l' OR REGrST # ___________._________..,
<br />CITY PROCIDSSING #
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