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HomeMy WebLinkAboutX2018-3844 - Permit ApplicationWor heet for Combo Building & Solar Permit Application Comm'I x,Residential ✓\ NOTE: PLAN HECKty of OFErt ESDUEATTding IMEOFISUBMITT1$_�� oG<,.oa�•'� ["Building F_Grading F -Drainage r\Elec FMech 4)<POlum ca Ydcut l cuvdFill Project Address (Not mailing address) F_ Flood r Fire r Liq F- Landslide /A Floor Site No ec?[ r� �r��� � I Descripfion,of Work UseConst Type -�� # Stories #Units (if Res) V(ate on New/Add SF 0 0'��7 emodel F Garage/New/Add l/L or O r�o OWNER'S NAME Lasts V D `� c f %�2 V344 First Owner's Address Owner's E-mail Address 3&,?-- 06r%Cw,,-^ 0r. mbtcl,M8(Prnlac, rOvl City State Zip�'�. Telephone's 1 62 APPLICANT'S NAME r Last C, yr ('t S First I UbYI n. and 1 fUl.l f S.SCZ. Applicant's Address tt - Applicant's E-mail Address 39L91- Parc Civ-ean D,- �jMAC_ 1im6& ^?e,cant City CC)✓�an�c MMaj,_ State I ofi Zip eoc _'3,t S TelephoneF7/C/(J ARCHITECT/DESIGNER'S NAME Last First LLic.No. 0I Architect/Designer's Address Architect/Designer's E-mail Address iu_ool°CwCtin,_Sur�z C City 'ZT\j1VIR State C�} Zip �i 4��1 TelephoneN9_ 4-t9t j g ENGINEER'S NAME Last�— First � - Lic No. Engineer's Address N (ti - " Engineer's E-mail Address 1/t-23-6 Glenne rz 5+#a01ron(DerlLv2wr/,2-Sirac}ures',c°�n�r City .. 15ea&� State Ok Zip 9,4A- Telephone �� j� �j��j'�- CONTRACTOR'S NAME/COMPANY C mH t, S1 Lic. No. 3�� Class �b.-J l / Contractor's Address Contractor's E-mail Address State Zip©Telephoned / SETBACKS REAR SETBACKS FRONT PERMIT NO. ( —351 1Z SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $