HomeMy WebLinkAboutAPPLICATION - 93-00020 - Valley Medical Shoppe - New Buildingt. I
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APPLICATION FOR BUILDING FERMI
CITY OF REXBURt TODD
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Date of Application O/:,� '�oj Permit
OWNER _ CONTRACTOR
Name Name
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Street Address )57/i.� � 41 tA StreeAddress L%Q LDtal �.�, .
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LEGAL DESCRIPTION ATTACH COPY IF NECESSARY)
Lot No* 113 1 o s ion
Job Address'
Project Information (To be completed by applicant)
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Fence Patio Carport Garage
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Structure: VNew
Remodel Rep it
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Height ot Buildinq IBU RG
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footage:.
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What Will. s used for include name of businens if
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If use is multiple y how many units
Estimated 13 elf
Use
Classification cc/ 11
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- Type onstruction Use Zone
Building Permit Fomes y Plan Chad Fees
Plumbing = Fees Digging Pe=it FeeoPOO
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Water Sewer Hookup fees Other Fees
Signature of Applicant
Signature18a"ed by�
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CITY OF REXBURG
BUILDIN,G PERMIT CHECK LIST
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