HomeMy WebLinkAboutXR2022-2719 - Permit Application�,�• t ofrr ,�Vorksbeetfor Oembo.-Build'mg,& Solar Permit,Apptication 04
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Applicant's Address Applicants E-mail Address
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ARCHITECT/DESIGNER'S NAME Last ✓ S Z
First Lic. No. 3 C) �l o
Architect/Designer's Address
9 Architect/Designer's E-mail Address
City SC,1c. 4AA State C Zip Telephone
ENGINEER'S NAME Last First Lic. No.�—
Engineer's Address Engineer's E-mail Address
City State Zip �- Telephoner
CONTRACTOR'S NAME/COMPANY $ L x 1- 1 G 5 L `» L Lic. No. L� 6 Class
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SETBACKS REAR SETBACKS FRONT PERMIT NO. X,e�- Z�II /
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NOXCZ(j(Z7,-
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $