Loading...
HomeMy WebLinkAboutX2021-3144 - Permit Application (2)r`Building r Grading Drainage Elec[Meeh Plum cuvdatF ceYdFill Project Address (Not mailing address) F Flood Fire Liq Landslide FN/A Floor Suite No escriptt of W rk - Use Const Type VZ.(o ►�v\I L «� -wno solm�2 w/ �t elLv ;> loo eoA46 #Stories #Units (if Res) l d'1 k )--- New/Add SF� Remodel SF— Garage/New/Add FValuation $— Material/Labor ,0r OWNER'S NAME Last SitIOWI First itm k Kytcc t i f 9 Owner's Address t -- 0 Owner's E-mail Address SG�y�Q/ U �j YLZ7 L1 G� a - - _ tv�teo,ves ate_ Nn.Ga City State�— Zip g26ZS Telephone qGK?l4qY$ APPLICANT'S NAME Last LAG First Hj Applicant's Address Applicant's E-mail Address iodaZ CWs4_:.- ran City State Cq Zip qW6 Telephone I _.._. Gj?�Q 56 �G�' - J _ --�o� ARCHITECT/DESIGNER'S NAME Last- First r— Lic. No F777 Architect/Designer's Address Architect/Designer's E-mail Address City State �— Zip r Telephone ENGINEER'S NAME Last i ,A I¢Jwtui - _ First �rr�--- Lic. Not(7 �'4 Engineer's Address Engineer's E-mail Ad�Yass 3 E•�C �} ldl4o� vtNLeon c�M City B�g� - State Zip a_ I Telephone[ CONTRACTOR'S NAME/COMPANY v/�AQLic. No. 01,441 K) Class Contractor's Address e1�1�e Contractor's E-mail Address _ Sam ats- � ltank tv�-�bP�V�L�G�t��2�t��a2,c,av� City State F_— Zip 1.7-77777 Telephone 5j 14AF'( L I SETBACKS REAR SETBACKS FRONT' 3 ✓ `r PERMIT NO. SETBACKS LEFT SETBACKS RIGHT `PIAN CHECK NO. USE ZONE DEVELOPMENT NO i' PLAN CHECK FEES $