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<br />:;.:: G~!{1i9d:~~<<d <br /> <br />CITY . Oll' ZIll'SYlUIII.I.8 nma!' APl'LICUIOH <br />8UIUlnla nnAMWaft' 1331 I- .1:, I~ll., n. 33142 <br />113-'710-0020 1'AX1113-710-0021 ......I\~ I ~ , <br />, ~ DAft UCKIYU ~ <br />. . PIQQ ClCIITAC7Jal ~ ~J3'-~d.fo-99~ s <br />fhC/II / CIf <br />Wa:tsVN <br /> <br />... i.. <br /> <br />PHONZ <br /> <br />r,.3 -'7/~- - "SO, '7 <br /> <br />LEGAL OESCRIPTIOHI LOT(S) ILOCIC <br />;AaCEL ID t. 03-2~ -2/- O/2D-txp::;o,!2-bO <br /> <br />S08DIVISION <br />/n~~.TV rRnw 'p.n~.~Y ~ ~TrP.1 <br /> <br />woal< PRO PIED I aNEW cotI.nUC1'ION <br /> <br />o ADDn'IClM <br /> <br />CAL'l'DATION <br /> <br />[J gPAtJl .AIII8'I'ALL <br /> <br />OUGN i:J NOVI 0 <br />PROPOStD on: ~GL rNlIL~ OWELLINO OWULTI-rNaLY <br />o COtllolEACIAL . D niDUS'J'RIAL - <br /> <br />DRNOLIiB <br />0, or WI'lS <br />OS~*I.O POOL <br /> <br />o HOBIJJ: RONI <br />o OTHER <br /> <br />" <br /> <br />Da'cauncw 01' WORK <br /> <br />Cl REBfAOJWrr . IUI.TH ~i..u'l'NDT u~ <br />f<4J{ACL- (ckr'ltL S;/~u <br /> <br />SQOUI I'OO'J'AGI KEICJlT <br /> <br />801LOINO SIzt <br /> <br />UlIOa'rIALI ATTACJI (2) 'L01".~ , (2) .m or IOlLOlllca .w. , (1) Sft I:UAGY FONtS. <br />CXHCElCIALI ATfACII (3) SUS or '8OII.DlNO ,LAM. , (1) 8Et UlIWY FORMS. <br />IF SIGH PERHIf OILY (2) S~TI 01' &NaX.ltktD 'LANI'aIQOIRID. <br />PROPERTY SURVEY llQaIUD roa ALL "Elf COWI'J'ROC'J'ION. <br /> <br />a IOnDING <br /> <br />, <br /> <br />PZRKr!rS UQOIlSHD <br /> <br />VALOA'J'IOlf or lOD.L cotI.TkOcrION <br />~. <br />AMP aDVIe& D PrOCJ&'''. EnU9Y 0 <br /> <br />N.R.S.C. <br /> <br />:\\ <br /> <br />VA-I\A~ <br />h 22 ./b <br /> <br />o tLECTP.IC.\L <br />o PLOOING <br />Cl KECIWlICAL <br />o GAS 0 ROOFING <br /> <br />, <br /> <br />o SPECII\I.1'T <br /> <br />VALOATIOH dr NlClANCIAI. INSTALLA!ION <br />DO!8El <br /> <br />- <br /> <br />~ <br /> <br />t"nt or CONSTI'OCfIOO I Cl IlLOCK <br />rIWISK&O FLOO~ ILlVATIO~S <br /> <br />D nwa: <br /> <br />OSTaJ. <br /> <br />. 0 OTRD <br /> <br />II . PI\OJECT III FLOOD ZONI MoUe YES <br /> <br />o NO <br />tereP- A~6N"1 CAf~AO TIT <br /> <br /> <br />,--~ <br />J <br />J <br /> <br />n.acnucv.x <br /> <br />COWPAlIY <br />. , <br /> <br />SIGNATURE <br /> <br />SfA'J'I CEll! OR IUlG!8'I' f <br /> <br />~ <br /> <br />...................................***............................ <br /> <br />n.tMIU <br /> <br />SIGNM'tIa& <br /> <br />OON~AlIY' <br />8TA'l'1I CEIlf oa UGIn , <br /> <br />~CAl. <br /> <br />................................................................... <br /> <br />COMPANY , <br /> <br />S I CMA TOM <br /> <br />IfAR CIlltf OJ. REOI" , <br /> <br />,...............*~....................*.*...*~.!....**........... <br /> <br />~ <br /> <br />S I G)l7. fORE <br /> <br />r, <br /> <br />C<lNPARY <br />STATI CER'l' Oft ktGlST . <br />