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<br />CI'1'Y . OF ZJll'SYlUIILL8 PDHr'l' AP1'L%eM'IOH . c.. <br />5UIIDOla PIlPAMWDn' 1335 ,- 't, J~l1., n, 331142 > '~ C~ ,,::..-1- <br />113-710-0020 1'AX,113-710-0021 (J .. jj. -00 1M. r ,- . <br />~ !)Aft RJ:CZ1VllP L <br /> <br />. P&oa QQMTI.C7 lOll ~mlMQ ~I 1;, - CJd. (p....Cf9fp S <br />. M . / / - . (:n - -. 0 . f'nCYV l' CIf <br />OWER'S NAHi I \.1""liY\ J LA(lY~.J'..I PHONE ~,~ -,,"['it,:). -~ Wat'snN <br />JOa ADDU.. .314-lo ~5h I (6 bY" , <br />LEGAL DESCRIPTION I LOT' (S I I () (. . ILOCk <br />'UCEL 10 t \()-~tC'-oU-Olab-.~Q()- ld,() <br /> <br />SOBOIVI8ION . ~ood <br />'nlll'anr nnw PRnPIP..'PY !lU NtwT~r.\ <br /> <br />MCl..- Vi, Or" <br /> <br />WORK PROPSEOI C1NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />O~'1'ilRA'fION <br /> <br />C lUI'AlR <br /> <br />~ IlISTALL <br /> <br />OSIGN b NOVI 0 DEMOLISa <br />PROPOStD on: ~GL FIIMILY OWELLINQ OWULTt-rNoIILY 0. or ONI'1'S <br />DCOHNERCIA1.0taiDUS'1'RI~ DsimemlG POOL <br /> <br />o 1<<>811.1 ROME <br />o OTIWl <br /> <br />BOILDING SIZE <br /> <br />c:J RU'1'~_ · lIULTH Qi'ARTNEN'l' APP~. k' <br />/~p(~ -/ ~o~. S~te, . /Z~ <br /> <br />SQOAU I'OOTAGI: HElGa!' <br /> <br />tla.c::atnION or WOILK <br /> <br />U8IoaTI~1 A'1'TACH 121 PL01"'~' . (2) .IIT. or aOlLDnlCJ 'WI' (1) RT IINZRGY rol\HS. <br />CCHfERCIAL: ATTACH 131 SEtS or 'WILDING 'LAlli' (1) SEt &)IIPJ,JY fORMS. <br />IF SIGN PERHI'1' O~LY 121 SCTS or ZNGX~IElID 'LAll,'alQUIaID. <br />PRO'ERTY SURVEY llQ01RJ:D roa ALL Vtw OOV8'1'RDCTION. <br /> <br />o 8OILOING <br />o ~ECTI\ICJ\l, <br />o PLttf8ING <br />o KECHAWICAL , <br />o GAS 0 ROOFING 0 SPECIA.I.1'l' <br /> <br />, <br /> <br />PmtKI!rS DQt1BS'1'Jm <br />V~OArIOM or tofU CON81ROCfION <br /> <br />" <br />AMP IIU:VIO: <br /> <br />o Proqreu Energy 0 <br /> <br />If.R.E.C. <br /> <br />VA-I \A-e <br />:\\ I~ I \ <6Lf, 57 <br /> <br />VAtOATION dr WlCJlANCIAL lNST~IA!'ION <br />o OTBEJ. <br /> <br />- <br /> <br />T'YPE or CONS'lI\OC'l'IOO: 0 BLOCK <br /> <br />o J'1WQ: <br /> <br />o STat. <br /> <br />. [j OTRta <br /> <br />rIWISiEO FLOOR ELEVATIONS <br /> <br />II PROJECT IW FLOOD ZONB AREAO YES <br /> <br />o NO r <br />!€reg A ~6N 'I CA + P>.p..o .III <br /> <br /> <br />SIGNA TUlU: <br /> <br />STATI CER!' OR lU:GIS'J' t <br /> <br />~- <br /> <br />v' <br />~~d Fa:' /' . <br />_4:~O 1- '\ <br />4 iLL /';:4' A r !'i.if.('T11 7111i.~- ) <br /> <br />--{;~_._---'~..- <br /> <br />u.acnuCXI.)l <br /> <br />COWPAIlY <br />, <br /> <br />..................****.............**............................. <br /> <br />nasu <br /> <br />IlIGW.TUIU <br /> <br />CONPANY' <br />STAT! CER~ OR RJ:GI81' . <br /> <br />. . <br />..........................**...................................... <br /> <br />~c.u. <br /> <br />SICMATQlU: <br /> <br />CONPlUl! . <br />afAR CEJ\T OR REGI" t <br /> <br />.................~....................*......~.!...*............. <br /> <br />0'!'HEJl <br /> <br />COMPANY <br /> <br />SI GWA TOll:! <br /> <br />r. <br /> <br />8TATI CEaT 01\ ~GIST t <br />