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HomeMy WebLinkAboutAPPLICATION - 04-00092 - 1114 Golden Willow Circle - New SFRAPPLICATION FOR BUILDING PERMIT CITY OF REXBURG, IDAHO Date of Application ,� T Permit No. � — 3 OWNER 99 Name Vl L Site Address 111 T (j o 1 d e k, [ �J I ! 1 o C, C ) rG e 6�' �' S 6 ►F — mss' Mailing Address R � 5 City /State /Zip Telephone/F,u CONTRACTOR Name vv� 0 S ocu ay- 2 Mailing Address City /State /Zip Telephone/Fax/Mobile PROJECT INFORMATION DEPARTMENT APPROVAL Property Zone: Is existing use compatible with zoning, (screening parking, etc When was this building last occupied lei /I Architect/ Engineer Firm ���. N C ©G Plan Name 5 (�— Subdivision W l hao V I - Lot Block Circle One Residenti Commercial Educational Government Remodel Other Circle One New Hou Addition/Remodel to House New Commercial Commercial Remodel Circle One Basement: None/ Finished / Unfinished ) Other: None/ Patio/ Carport/ Awning N/A Lot Square Footage Square Feet Garage Square Feet Number of Stories Height of Building What will structure be used for: Home Home Business Apartment Commercial Other Will there be an apartment? If so, how many units Total Estimated Cost / ;2-a. g Are you in a flood plain Signature of Applicant 1. A Code Zone Building Type Building Permit Fees U/2— PAID Plan Check Fees Plumbing Permit Fees t/L/, ✓• F E g •• 8 2004 Digging Permit Fees Water & Sewer Fees CITY OF REXBUFi(3 Front Footage Fee (Parks, Fire, and Police) Impact Fees 7• � TOTAL $ y Signature of Inspector Lot Width Issued by