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HomeMy WebLinkAboutX2020-2942 - Permit ApplicationchY /A/. , (5 . Last L State L Zip j Telephone Architect/Designer's Address _ Architect/Designer's E-mail Address APPLICANT'S NAME Last First 1, 7E"r!7 ARCHITECT/DESIGNER'S NAME Last L FirstIa Lic.No. Architect/Designer's Address _ Architect/Designer's E-mail Address city —� State Zip; Telephone ENGINEER'S NAME LastI First ` Lic. No.�-� :.-- — i Engineer's Address Engineer's &mail Address Zips Telephone � City i State CONTRgCTOR'S NAME/COMPANY' ~— OLLic. No. Class lcTd/L Q. 5-/�Z Contractor's Address ontractor's E-mail Address 7y2 Pne �T Oa✓ t�. Clow City State �( Zip(o Telephone SETBACKS REAR SETBACKS FRONT' PERMIT NO. SETBACKS LEFT, SETBACKS RIGHT PLAN CHECK N . ' USEZONE DEVELOPMENT NO PLAN CHECK FEES $