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<br />. .... ~.~. ...... .."" ""'''' <br /> <br />. I "'''' ~ <br />I <br /> <br />f ~ 8~ ~ <br /> <br />CITY' OF ZBl'BYJUlII.I.8 nma~ APPLIOHION <br />IWIUlOla OUU'DIDft' 1335 .- It, J~ll., n. 331l~ <br />'13-710-0020 F.lX1113-710-0021 <br />~ <br /> <br />DAft UCZIVaP <br />l'BOIQ 00tn'AC'l' lOll ~m~MO '1/3, - CJd. 0-0/9" S <br />(J1CYl1" CJf <br />WatsVN <br /> <br />.~ <br /> <br />( ;;l. --k, : Av-t <br /> <br />LEGAL DESCRIPTION' LOT (I) I -I 0 <br />PAaCEL 10 t tel' ~ ftr ~ I, 0 0 10 ' <br /> <br />OIMR'S ~~~( <br />-'011 1J:lDU1I .' 8 53 <br /> <br />PHOm: y; t3 -1 <i:::? - 051 0 <br /> <br />WOII< PIlOPSJ:D, aNEW cotI5T!l.UC'l'tON <br /> <br /> <br />Q) <br /> <br />o ADOITIOH <br /> <br />O~'fERA'fION ~PAIR <br /> <br />o nl8T1U.1. <br /> <br />o SIGN b NOW 0 <br />PROPOStD 0$1: ~L FAMILY OWELLINO OWULTt-rAHILY <br />o CO)oltofEll.CIAL . 0 nipuSTlU~ w <br /> <br />DRHOLIsa <br />0. or 1nI11'8 <br />o S~I10II)JG POOL <br /> <br />o HOBlLE ROHI: <br />o 01'1W\ <br /> <br />Da'c:aunOH or WOaK <br /> <br />I:J .......... . .wo. ,i......... .."""'" . ~ ' <br />~'~Ce~ J Deda... +-~ t,.Ji~d()uJS S', . S,. <-e <br /> <br />SQOAQ J'OO1'AGI HEIGl!' <br /> <br />BOILOING SIZE <br /> <br />U8IOblTI~1 A'fTACJ\ (2) PL01" '~I i (2) liT. or aO%LOnlG 'W' i (1) SI:! lUU!:RGY rol\HS. <br />CC>>tiElCIAI.: ATTACH (3) SErs or 'BOlLOlNO ,LAN' , (1) au &)liMY I'OIUCS. <br />IF SIGN PERHIT ONLY l~) S~1S or &NGIMltktD 'LAN,'azoUI~. <br />P80PERTY SURVEY lEQ01UO roa 1U.1. >>EW OO>>''fROCTION, <br /> <br />~aun.DING <br />o !LECTIUCAI. <br />o PLtliBING <br />o HEClW/ICAl. <br /> <br />PDN:I!rS RJ:QuESTED <br /> <br />" <br />ANP IIUVICI <br /> <br />o Proqre.. Eneren' 0 <br /> <br />H,R,l!:.C, <br /> <br />\/A-llA-€- <br />~3i;Z3(P, tf7 <br /> <br />, <br /> <br />VALDATIOH or fOUL CON81ROctION <br /> <br />, <br /> <br />VAt.~TION dr NtCIANCIAL INSTALLA'tION <br />o 0'1'811. <br /> <br />- <br /> <br />o G.U 0 I\OOFING 0 SPECIA1.1'Y <br /> <br />T'Yi'E or COllS1l\OCTION: 0 BLOCK <br />rtNIsBXO FLOOR ELEVAtIONS <br /> <br />o BAHt <br /> <br />o STalL <br /> <br />'0 OTHER <br /> <br />II.PROJECf IV FLOOO ZONI AREAO n:s <br /> <br />o NO <br />?ereP.. A ~6N "( CA f CAp,o J1J <br /> <br /> <br />~C%Alll <br /> <br />COMPANY <br />. , <br /> <br />SIGNATURE <br /> <br />SfATS eEl! OR REGIS1 f <br /> <br />.....................**........................................... <br /> <br />V1.QdIlU <br /> <br />IICDlATUIU <br /> <br />CON~ANY' <br />STAT! CERf OR RlGI81 f <br /> <br />~CAL <br /> <br />. . <br />.................................................................. <br /> <br />CONPA)lY . <br />S'tAn CEa't OR REGIST , <br /> <br />SICAATOJU: <br /> <br />.....*..*.*..*...~......................*....~.~.....*........... <br /> <br />0'nlXJl <br /> <br />CQ(PANY <br /> <br />I I G)OI. TOJI.E <br /> <br />" <br /> <br />STATI CElT O~ ktGIST t <br />