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<br />CITY 'Oll' ZBl'BYlUIII.L8 R1Ua!' APPLICHIOH <br />5UIlDIlIa DU~ 1335 I- It, 1~1l., it, 33142 <br />113-710-0020 rAXtl13-710-0021 3l l <br />~ DAft uca:1VaP30 0(0 <br />, PIQg CX>>I't~ tat ~rmMO ~/3,-CJd(P--Cf9tp S <br />I, , " j, L" ' fhCYI/ / CIf <br />OWER'S NAMi ~ h (.2.1+ ,'trLl,to rJ PIlON!: ~i.> - -7") 7' - 0 {;, 2. ~ W0::t5VN <br />J'08 ADDU..' 5" I DC; I. 0 '7h 51: <br />LEGAL DESCRIPTION I LOT(S) <l-i -/ D. .LOCI( 2 oS' SOBDIVI8ION lb Lo,.;/j . D.t 2.~f't,t'..e.4. "S <br />P.ucEL 10 t Il-~-JJ~'D"20,;>oO'-()07' If'J""llnl I'RmI pRnpr-R'PY 1'iuc Nf'l'I'T(,~l <br /> <br />". .... <br />I <br /> <br />WORK PlOPSEDI ClNEW CONIT~UC1ION <br />DUGN <br /> <br />o ADDU'IOM <br />b NOVI <br /> <br />CJ AL'fi:RA'l'ION <br /> <br />[J lUIPAIR <br /> <br />D nl8'l'1W. <br /> <br />PROPOSED DSE~SGL rAMILY DWELLING <br />DCX)Ht(ERCIAL <br /> <br />OWUL'l'IwI'NCILY <br />, 0 IWDOS'J'IlIAL - <br /> <br />o DEMOLISH <br />o t or ONt'1'S <br />o SimOlIlQ POOL <br /> <br />D HOBlLE ROMI: <br />o OTIlJ:R <br /> <br />BUILDING SIU: <br /> <br /><::J .......... · ....... ........... "'J;.' <br />~(J:J4' I DbolZ.. Si'~ ,/2P <br /> <br />SQOAU fOOTAGE HEIGl" <br /> <br />oa.c:auflCII or weax <br /> <br />RUIDCIl'!'IALI ATTACH (2) PLOT'PLAW" (2) 11:1" or )O:J:LDnlCl 'WI' (1) SJ:'l ZllERGY FORMS. <br />CCHtE.aCIAL: ATTACH (31 SETS or 'BOILDINQ ,LAN. , (1) 81:'1 E)lEIlOY fORMS. <br />IF SIaN PERMIT OWLY 1~1 S~TS or ENG%IXtltD 'LANS'azoUlftID. <br />PROPERTY SURVEY IlIQ01RJ:D roa ~ >>~ OO>>8'fROCTION. <br /> <br />nma!rs DQUIlST2D <br /> <br />o ELECTJl.ICJl.L <br />o PLttfBING <br />o HECHA)/ICAL <br />o GAS 0 J\OOFING <br /> <br />".R.E.C. <br /> <br />V~llA~ <br />-72tJ , .~S' <br /> <br />o .tlnOING <br /> <br />, <br /> <br />VALOA'lION or tD'U.L CON8'l'Jl.OC'lION <br /> <br />. <br />, <br />AMP lIUVIa <br /> <br />o hOCilt'e.. Enuqy 0 <br /> <br />:\\ <br /> <br />, <br /> <br />o SPECIALTY' <br /> <br />VALOA,.IOH 6r NEClIANCIAL INS'l'ALlAi'ION <br />o o,.aEl <br /> <br />- <br /> <br />TYPE or CONS'I'J\OC1'ION: 0 aLOCK <br /> <br />o I'1WCt <br /> <br />o STaL <br /> <br />'cJ OTHER <br /> <br />fIWISiXD FLOOR ILEVArIONS <br /> <br />II ,P~ Dr FLOOD ZONI AREAO YES <br /> <br />o NO <br />!€reg A ~6N "I CA.r p..p.;o .rrr <br /> <br /> <br />n.acnuCU)/ <br /> <br />l4orv1e c::..~I?S'~<;:. <br />Sf An cu.,. OR RJ:GIST t, C'~c... l S-D W l ~ <br /> <br />.............~......****~....*.............*............. ~~; S- () <br /> <br />COWPAlIY <br />, <br /> <br />SIGNATURE <br /> <br />STATZ CEaf OR REGI87 t <br /> <br />....**...t........................................................ <br /> <br />n.tIdBU <br /> <br />S I Q);A TUJU: <br /> <br />COMPANY' <br />87ATB CEIl\' OR REGIST t <br /> <br />~CAL <br /> <br />. ' <br />..........................................*........................ <br /> <br />COMPANY . <br /> <br />SIGMATOJU: <br /> <br />afAR CEAT OK KEGIS'J' . <br /> <br />.*...............~......*...*...........*...~~.!.....*........... <br /> <br />cmmt <br /> <br />S I G)lA TOI\E <br /> <br />r, <br /> <br />COHPANY <br />81'A1'1 CIa,. 01\ !\EGIS7 t <br />