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<br />CIn . OB' 91'SnulII.L8 PDia'l' APPL!CUIOH <br />5UIUlnla D&)U~ .335 .- .\:, 1~1l., n. 3311~ ~'". " <br />" .13-710-0020 nxl'13-710-0021 ...( .Ut D<.I <br />' ~ DAft UCK1"VaD <br />. PJIOIg COII'tAC7 Jal ~ImMO 'lJ'?J,-C]d.fp-99fo S <br />r:\ ., ,'.' /YJO'I/ / elf <br />OWWR'S NAME u,..,Tf1ef\j I c.., ,/Yl-A-. 22.11 '. PJIONE &3 . 7~3 -/2/.7 WO::t'sVN <br />JOB ADDU.. 3~"/tal) CQtto;Jl.)(JocI. P,- 2.e.f>l.yf2.t.,;//s" p,-. 3:55:""',1 2- <br />LEGAl. DESCRIPTIO)! I LOT(S) / or II" ILOCI( 'SDBDIVIBION DI2[4-u.Jocrd! <br />p.ucu III t ();;J.~..2t; -2.1-/") ;),,/0 .-l9tt)OO'III./-O In!l!'ll.YW I'R/'IM pRnpJr.R'PY l'iuc NO'PTI"r.\ <br /> <br />WORK PROPSZDr C1NEN OON5T~UC1ION <br />DSIGN <br /> <br />o ADDITION <br />b NOVI <br /> <br />ClAL'fERATION <br /> <br />[J RlPAIR <br /> <br />D nl8'rALJ. <br /> <br />PrlOPOSto DSI:: DSGL rNlILY DWELLINQ <br />o COlolNEltCIAL <br /> <br />ONULTI-r>>IILY <br />. 0 niDUS'l'RIAL W <br /> <br />o D2NOLIsa <br />0, or DNI'1'S <br />o S~nlMIalG POOL <br /> <br />o HOBILJ: ROHI: <br />o OTIU:R ~'AG;~J'n,e;V-r <br /> <br />8DILDINO SIZE <br /> <br />CJ RU1'AOiA>>f . IJ:AI,TIt ~i'AR1'NEN'1' APPROVl\L <br />p..~pI~ '2.JfY>I?S S(2~/S;'~ <br /> <br />SOOAaI rooTAGE HEIGl'!' <br /> <br />oa.c::aunow or woax <br /> <br />RUIDZIlTIALI ATTACH (2) PL01" ,L>>l. . (2) 11:1'8 or aOUDnlG 'WI , (1) AT ENERGY lOl\HS, <br />CCHtElCIAL: ATTACH 13) SETS or '80ILDINQ ,LAN. , (1) BE! U1EMY 1'01lICS. <br />If' SIGH PERHIT OILY (2) Si:1'S or U1GI)lltUO 'W,,. UQUIJW), <br />PROPERTY SURVEY llQaIRZD lOa ALL VZW COalSTRDCTION, <br /> <br />PZma!rS UQUES'1'2D <br /> <br />o tLECTI\ICAL <br />o PLllfBING <br />o KECHANICAL <br />o G.U 0 ROOFING <br /> <br />. <br />. <br />AHJI IIDVICE <br /> <br />o ProqJ:en En.rqy 0 <br /> <br />tf.R,r;,c, <br /> <br />:t\ <br /> <br />VA-llA-€- <br />7'7 .3 s~ <br /> <br />o IDII.DING <br /> <br />, <br /> <br />VALDATIOH or toUI. COH8'rRDC'1'ION <br /> <br />, <br /> <br />o SPECIAL!l' <br /> <br />VAt~TIOH dr N1CJlANCIAL INSTALlAtION <br />o <n1E1 <br /> <br />- <br /> <br />~ <br /> <br />npl: or CONS'I'l\OCfIOO: 0 aLOCK <br /> <br />o nwa: <br /> <br />o ''rEEL <br /> <br />'CJOTRta <br /> <br />fINISaxD FLOOR ELEVATIONS <br /> <br />II.PIlOJEC1' nl FLOOD EON! AREACl YEa <br /> <br />o NO <br />?erep., A~6N \( CA f p..p;o ]If <br /> <br /> <br />~CJ:.\)/ <br /> <br />t-" . ~A)lY~ 8otv1e ("~J?S_~~ <br />.' tI/.J1f.;t;4 ~!'An cwo Oil RlGIST t. C"<qc.. l S-D ~ l 7 <br />a.AhA-r ._ "~ <br />.. ........... *,.. ............0"'.''"..................................... 5 L ::> <br />~ ~ <br /> <br />COMPANY <br />, <br /> <br />SIGNA TUJU: <br /> <br />STAn CElt!' OR JU:GIST t <br /> <br />....*...........~.**.*t............*...*.......................... <br /> <br />i'LtMIU <br /> <br />51 GIlA TUJU: <br /> <br />COMPANY' <br />8TAT! Ctat OR RlGIST t <br /> <br />~CA.L <br /> <br />............................................................*...... <br /> <br />SIGMAroJU: <br /> <br />cacPA>>Y . <br />STAn: CEltt' Oil IlEGIS'f , <br /> <br />........*........~........................*.~~.!.....*........... <br /> <br />cmIU <br /> <br />COMPANY <br /> <br />II GNA TOlI.E <br /> <br />r, <br /> <br />8!'A!'1 CEaT o~ ~aIIT t <br />