Laserfiche WebLink
<br />OWWER' S NAMi <br /> <br />eI'1'Y . OJ!' ZKl'SY1UIII.L8 PDia't APPLIWION <br />8UILODlQ l1UU~ 8338 I- 't, lephyztUlla, n. 3U42 <br />113-710-0020 1'AX1113-710-0021 ; il 10 c.. <br />~ DAft DCZIQD :, I \ - ..J <br /> <br />. PBOa CX*TAC7 lOR ~rmMQ ~/3,-CJd.(p,J19~ S <br /> <br />U e (2..N-€.. ,.', ,W ~ J t ~ A ~ S PIlON!: ~(~:.'"] ~z.-CXJ2..S- m~N <br />:3'8''-I~ () <::..e>ttu,..J w60d. PL <br /> <br />JQII ADDU" . <br /> <br />LEGAL DESCRIPTIONl LOT(S) aLOCX 'SDBDIVI8ION ()2 i+-f-wood <br />J.ucu ID t f)-::L-?f..:.--')..J-D;;..((3:~()I),SDo-0630'n"1'''rv I'Rnw.PRnplP.R'I'Y l'iuc NM'Tr.r.\ <br />WORK PROPSJ:D, dm:w CONITl\.UC1ION 0 ADDU'ION ClAL'fERATION C gJAIR [J I118TALL <br />o DEMOLIsa -if fJe.p/~.J-r <br />Ot or ONI'1'S 0 HOBlLE AOMJ: <br />o SWrMMIWG POOL 0 OTlltR <br /> <br />ONl1LTlwDMILY <br />.0 niDUSTIlIAL <br /> <br />./ ~ep.,,\t <br />/ <br />! ~~ 10 <br /> <br />ClUGN <br />PROPOStD 0$1 ~SGL rAHIL Y DWtLLINQ <br />O~ERCIAL <br /> <br />tJ NOVI <br /> <br />BOILDING SIZE <br /> <br />c:J RUTAOJWI1' . IImT" 9I:PARTMEN'l' APpROVAL <br /> <br />f2z,r/~ S-'A) ; Ndqw5. s:,Le/s.:..~ <br />SQOU.I FOOTAGE HEIGn <br /> <br />tla.catHItII or W'OaK <br /> <br />JU:SIOCIIT:rALI ATTACH (2) PLOT'JLU.. (2) .In or aOILDIllG PWI' (1) S1:T ZWZIIGY FORMS, <br />~CIAL: ATTACH (3) SETS or'SOILOINQ 'WS Ii (1) SE! E)lEIlQY fORMS. <br />IP SIGN PERMIT OWLY l~) selS or &NGX>>EtlED .WS'azoUIlID. <br />PROPERTY SURVEY RIQ01RED roa ALL >>tw OOW''l'IlDCTION. <br /> <br />o .DILDING <br />o ELECTUCAL <br />o PLGfBING <br />o HEClWIICAL , <br />Cl G.U 0 ROOFING 0 SPECIAI.n <br /> <br />, <br /> <br />PZma!rS RJ:Om:STKD <br />/ .50 ( : 70 VALDATION or tOUL COH8TftOC'1'IOH <br /> <br />" <br />AMP aDVICE <br /> <br />o Proqr... Entr9)' 0 <br /> <br />N.R,t,C, <br /> <br />VA-ItA-€, <br />~ IS-DI. "76 <br /> <br />VALOATIOH 6r I4CIlANCIAL INSTALLAtION <br />o OtBEl <br /> <br />- <br /> <br />TYPE 01 CONS'I'ROC1IOtl: 0 IlLOCK <br /> <br />o nwct <br /> <br />o STEEL <br /> <br />.0 OTHEIl <br /> <br />rIwIsazD FLOO~ ELEVATIONS <br /> <br />II . PROJECt III I'LOOO ZC>>lI AREA Cl YES <br /> <br />o NO <br />!€reP, A ~6N '( CA f IAp;o .rrr <br /> <br /> <br />Ho tY\e <:'~J?S ~ ~ <br />l5DWL7 <br /> <br />~a"~U <br /> <br />c.&CTJU C:t.\)l <br /> <br />COWP;uJY <br />. \ <br /> <br />61 GNATURE <br /> <br />STATI CERt OR REGISr f <br /> <br />...................**..............**............*..............*. <br /> <br />natlD <br /> <br />iI GNA T'UII.E <br /> <br />CON~JUfY. <br />BTAT! CEIl\' 01\ REGI8T t <br /> <br />1eCKA)I1C.\1. <br /> <br />................................*.................................. <br /> <br />S IGMATOIU: <br /> <br />CQCPAWY , <br />Sf ArE CEIl\' OR REGIST t <br /> <br />...*.............~......................*....~.~.....*........... <br /> <br /><mIZJl <br /> <br />COHPJUfV <br /> <br />SIGHA"~ <br /> <br />" <br /> <br />STATI clar 01\ REGIlr t <br />