HomeMy WebLinkAboutx2018-3130 - Permit ApplicationAPPL.cANL'S NAME Last First.[
. Applicant's Address
Applicant's.E-mail Address
CityState
Zip
Telephoned
ARCHITECT/DESIGNER'S NAME
Last
First
�
Lic. No.
I
�ArchitectMesigner's Address
.
; Arc hiItect/Designer's E-mail Address.
City
State
Zip;
Telephone
ENGINEER'S=NAME Last
First Lic. No.
Engmeer's.Addfess
Engineer's E-mail,Address
-
i
City
State
Zip
F777:1 Telephoned
CONT ACTOR'S NAME/COMP9
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Sa ve✓S L-6
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No. �3(0 Class
Contra
tor's AddressGontractoa's.E-mail
Address
072
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City ULIq��
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Zip ZGS?j Telephone
SETBACKS.REAR
SETBACKS FRONT'.
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $