HomeMy WebLinkAboutAPPLICATION - 97-00001 - Madison Memorial - SignAPPLICATION FOR BUILDING PEPIJI T
CITY OF RExsuRc;, ITI
1
Date Of Applicat'
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OWNER CONTRACTOR
Name f65 eva
Street Address _ fret Addrees
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Mailing Address ails
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City, StateF.)
Ci-Lytate Td 4.L �-a
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Mobile Telephone
Archt-tect or Engineering7 � �•
LEGAL DEQ CRS P' I TACH COPY IF NECESSARY
Lot No. Block Subdivision
Job Address
Pro o f Dana i
*on o be completed'bylisant
Residence Comm. Educational Gov,
Fence Patio Carportr rel.rY
ru tune New Remodel AdditionRepai-r Renewal
Total Floor Area Number of Stories Height of Build -Ing
foo Lase: Unfinislied BasementFinished Basement
Wlaat will structure used
of business i
applicablep
amily
yti-p�
(apartments) how many units
Total , Cf- EP -7 -
�r Use Classif*cation
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Are You In A Floodic
Permit
Tax Code Building Type Zone
Building Permit Fees
Pian Check fees
Plumbing Permit Fees 3- Permit Feea
D, gging
Water Sewer I-loo]-ciLlp f ees Other
AnnTir-nni-
Signature o Bulb r o
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