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<br />APPLICA~ION FOR PERMIT
<br />~l"l'Y 02" :U:PHYtlHILl..S
<br />BUILDING DI:J?~T
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<br />DAft RIlCJ:XWD ._~ - -5 -- c.J -?:
<br />PLANS UVIEW l'BB
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<br />QWNh:R'S NAME ~~)'ll r\
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<br />LEGAL DESCRIPTION: LOT(S) BLOCK
<br />PAR(~BL ID If H - j'1) :ll.-. ()Oln ,.rn ')(1(1.- t (J..x i
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<br />SUBDIVISION
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<br />IOW1'ATN ~ROM pROPERTY 'l'~~ NOTICEl
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<br />WOf<K PROl'St;U; 1'l'nEW CONS'l'lt\JC'l'fON
<br />OnGN
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<br />o Mml TrON
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<br />DALTE.AATION
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<br />o REI?AIR
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<br />o INSTALL
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<br />o MOVE:
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<br />[j DEMOLI ~II
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<br />0# or UNITS
<br />,;(sWIMMING t'OOL
<br />CJ RESTAURANT 6. HEAl.'1'1l I>El?ARn1F,NT ll.l?PI{OVAL
<br />D~S(;RH>'nON Of' WORt'. ,J-n C';VI'\Il<iA C__)(~i\Wf\l\'~{1 (-td i^..\'-~~&ck Ly SI'W'+-V\......
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<br />81J1LDl'NG SI:l.~ SQtlAH~ F~O'I'}\GE ____ IIEIGH'!'
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<br />o COMMERCIAL
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<br />o INDllS'!'/UAL
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<br />o MOtH LE 1I0ME
<br />o <Yl'HER
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<br />PROPOSED U5E:[]SGL FAMILY DWELLING
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<br />CJMVLTI - f1\Mi LY
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<br />I\ESIOEN'(' JAL:
<br />COMMIi:~CIAL:
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<br />ATTACH Pl "LO'l' PLAJalS , (2l ~.E:'1'S OF 8UlLDING PLANS & (1) Sl!:T ENERGY FORMS,
<br />AII'tACH (31 SLTS 01" B\lll.L1ING l?I.AJB , (1) SJ::,.. ~NC;I~GY FORMS.
<br />?ROPERT'i ~URV&'{ !l.I.~QUl RED FO~ ALL NEW CONS'fRUCTTON.
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<br />PERMITS REQUESTED
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<br />o BUILDING
<br />o ELECTRI CA.!'
<br />o I:'LUMBING
<br />o MECHAN I CAt.
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<br />s
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<br />/ '1, (.,..1..-/: -
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<br />VAl.UATION Of TOTAL CONS'l'RUC1'ION
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<br />AMI? Si:RVJ L:I': 0
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<br />FLOP-lOA l'OWER 0 W.R.!';.c. -N
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<br />Ml!:CHANCIAL INS'l'ALLATION L.-,J'S "f \t
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<br />_~--_~____ VALUATION OF
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<br />o GAS
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<br />o ROOIrING
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<br />o SPECIALTY
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<br />o OTBEIl
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<br />TYPE OF CONSTRUCTl ON! 0 BLOCK
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<br />o f'HAME
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<br />o nl'f.;t;L
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<br />o O'l'HER
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<br />f'INISHEr) I"LOOR ELF'VA.'['IONS
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<br />IS PRO.Jr,:C'l" 11'/ FLOOFJ ~OWE ARE'AD 'i't:S
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<br />o NO
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<br />STAT!:; CI::R't OR ~EGlST II t_P- t{:-:-;;. .~ ~
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<br />8138353823 08/05/03 06:44pm P. 002
<br />C.l.'l'Y PROCESSING II
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