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<br />QWWE]l.' S NAMIl <br /> <br />fY\ 01< tU s (VlA1l.S tf <br />clS?- A-sh/~rJcJ dte.. <br /> <br />LEGAL DESCRIPTION' LOT(S) -.3 7 aLOCk' <br />P.w:EL ID t 3S- ).5-:1/. t)() S2:) -:t!CJOtJD- 0170 <br /> <br />CITY 'OJi' ZJ:l'BYlUIII.L8 Pi:ma!' APPLIWION <br />IilUILDDlGl IlJIPAHWKN'f I3H .- It, J~ll., n. 33142 <br />113-710-0020 nx ,113-780-0021 ~ L.. '0 (p <br />, ~ DAft JlZCnvap ~ <br />, ' iJQI8 OCMTMr JOIl ~xmMO ~/3, - CJd) (p....c19fo S <br />mCfll / CJf <br />WO:tsVN <br /> <br />PItON!: <br /> <br />813 -7~ - (, )c:i'1 <br /> <br />JQIl ADDU" <br /> <br />SOBOIVI8ION <br /> <br />(-} l Ph A- <br /> <br />U;I 1.4~ G"rr/.l-T-Gf <br /> <br />,n"1'Atv I'RNA PRnpIP.R'PY 1'U NMT~r.\ <br /> <br />WORK PROPSl:D I 0 NEW cotIST1'-UC'l'ION <br /> <br />o ADDITION <br /> <br />OAL'fERA'1'ION <br /> <br />C RKPAIR <br /> <br />Cl nt8'l'lW. 14:.p~~ <br /> <br />PROPOSl:D <br /> <br />ClSIGN b NOVI 0 <br />Ost:~GL r1JolILY OHZLLINQ OWUL'1'I-f'NoIILY <br />o COtolNEP.CIAL ' 0 niDUS'J'IlIAL W <br /> <br />DiNOLISS <br />0. or DNI'1'S <br />o sim.lnto POOL <br /> <br />o HOBlLE ROM! <br />OOTIIER <br /> <br />BUILDING SIZE <br /> <br />CJ Rts'l'AmWrr . IIEAL'1'H l;)tl'MTMEll'l' ~PROVlU./, , <br />12e.r1 A'-J' 0 L-.:J,' tJJows $': CJ:L,. s,~ <br /> <br />SQOAU fOOTAGE HEIGII'I' <br /> <br /> <br />oa'c:atnION or woax <br /> <br />JLt8IDCllTIAI.1 A7'l'ACII (2) PLOT' ,LA>>, . (2) '.'1'; or BOXLDnllI PWI . (1) ft'1' &WZRG't 1'01lHS. <br />COt9(ERCIAL: AT't'ACH (3) SETS or'BOILDING 'W' , (11 SEt 1ME1\a't 1'01lNS. . \,OC. 0 <br />IF SIGH PERMIT O~LY (2) SE1S or INGI~ltllD 'W.'IEQUIRID. ~ <br />PBOPERTY SURVEY RIQOIRED roa ALL >>tw COW8'1'ROCTION. <br /> <br />PZma!1'S DOm:STZD <br /> <br />o tI.ECTP.ICAL <br />o PLGlBING <br />o HECH.ullCAL <br /> <br />N.R.Z.C. <br /> <br />VA-itA-€- <br />'3;41&,/?5 <br /> <br />o aOtLOING <br /> <br />. 31-\\(P .,\<6 <br /> <br />VAI.OAfION or to'UI. cotl8'1'aOC'1'ION <br /> <br />" <br />AMP aDVICE <br /> <br />o h'oqren Entl'qy 0 <br /> <br />:\\ <br /> <br />, <br /> <br />VAt~TION dr NlClWfCIAL IN!lTALIA'tION <br />o O'1'BEl <br /> <br />- <br /> <br />o GAS 0 ROOFING 0 SPECIAI.Tr <br /> <br />t'YPE or CONSnOCfIOtI: 0 aLOCK <br /> <br />o nAME <br /> <br />DS'l'&:EI. <br /> <br />'0 OTHER <br /> <br />rIHISiED rLOO~ ELEVATIONS <br /> <br />I1,PaoJEC1' nt FLOOD ZONB MEAD YES <br /> <br />o NO <br />?€reg A rSUt6N "I CA.r P>-p;o .IIf <br /> <br /> <br /> <br />=("')~ <br />C::-l"1 <br />--L4!'" <br />C"'<~ <br />Ool"1 <br />2J~~ <br />~NO <br />o~~ <br />j~~ <br />("') <br />;; <br />C"'C'" <br />C'" <br /> <br />IJ..ICn.XCL\)/ CONl'AWY <br />, <br /> <br />SIGNATURE STA'1'I CEIl! OR REGI87 f <br /> <br />..................***...............*............................. <br /> <br />J'I.tMW\ COMPANY' <br />llI~t'U1U 8'1'ATII CERT 01\ UGI87 f <br /> <br />..*.*......*...............*....*................~*....-........... <br /> <br />~CAL CONPPJlY , <br /> <br />SIGMATOJU: <br /> <br />8fAR CEllT 01\ REGIS' . <br /> <br />...............**~...*..................**...~.~.....*........... <br /> <br />STArE CEaT O~ ~GIST t <br /> <br />'- <br />~ <br />~ <br />cJ;~ <br />:J <br /> <br />cmtD <br /> <br />COMPANY <br /> <br />II avo Tt7JI.E <br /> <br />'. <br />