Loading...
HomeMy WebLinkAboutX2021-2812 - Permit Applicationwilding F Grading 'Drainage rEfec F_Mach F- plum cuvdCut Cu Yd Filll Project Address (Not mailing address) 17 Flood r Fire [— Liq (— Landslide 1-N/A Floor Suite No Description ork L 3o'I� UseConstType� 7Z lrJGCt7 �wk�v� Q # Stories[ # Units (if Res) New/Add SF � Remodel SF�— Garage/New/Add Valuation a - Material/Labor Fn ER'S NAME Last First er's Address �I Owner's E-mail Address ���0(2-�State — ZIP _ Telephone Q! q _ 5-x-4 9-7 APPLICANT'S NAME Last p � (� 1 Ea�� First A,,i Applicant's Address I - '� Applicant's; E-mail Address C�fldJG�2�4� City �� 741 ��d9( State rClp� Zip Telephone ARCHITECT/DESIGNER'S NAME Last First- - Lic. No. �— Architect/Designer's Address Architect/Designer's E-mail Address City State F_ ZIP — Telephone- ENGINEER'S NAME Last First Lic. No.l� Engineer's Address Engineer's E-mail Address City � _ r State I Zip Telephoner CONTRACTOR'S NAME/COMPANY , ►�7TQJ LIC. No. �3q7 Class Contractor's Address I2 Contractor's E-mail Address ��✓���c-. Un�i'�,� �.y�dP—FE a�T�'rJD►J@C�r-c�J'�.C�t City �� " F°K State ��i'�. Zip Telephone t 6 SETBACKS REAR SETBACKS FRONT PERMIT NO.F SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N , USE ZONE DEVELOPMENT NO C? r cj Ld ALAN CHECK FEES $