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23A-105 (10)
PERMIT APPLICATION CHECK LIST NO DA E 1 . ZON i.itiftd,FORWAPPt. A 2 . F: RMIT. APPLICATION r• �z; 3 . OWNER OCCUPANT STATEMENT / wY IF NOT ., 4 , 3 SETS OF PLANS /PLOT PLAN 5 . NEW CONSTRUCTION 6 . CURB CUT 7 . WATER AVAILABILITY FORMS 8 , REMODELING INTERIOR 9 . ADDITION 10 . ACCESSORY STRUCTURE 11 . SIGN / AWNING 12 , PERMIT FEE ONLY - MONEY ORD 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A J6 . FILL COMMENTS : .J L Q I( 14 �-c --(�'1 /�z�.l�2 i/t o/?7 'O c( 7,.)-Y ( Ni ,�, ' v /111-112 c 4,M,&.0_,_ I,10 vi ' l-1„.Atoc,s J ..9''to(,, J__I (1.7741 C)2 7r ')--1 --i'7z'/L !4- -x79VWJ�} sxlewaE ;uv»'ddn algrsuodsa.fo aantnubs �J CJ W ?"719z2 ► 9 . ' a ue a8 a Mou J lag P P [ i IN 'siq Jo isaq aql 01 arm ale s1uawalels anoge alp rip swill= pau$isiapun au, '' L 12 Q/ 7s03 pMewns 3 b i asnoq SurpiS '£I 1 / (',� S .)�,/ ,yU.1 ill 47 9, M! , c: .T ) e q , Pool Jo W.I. 71 `D t7 ; 0 c ■ ,� 0/: ' / E' x slawI 1o1 01 aaue1s!Q •I I Suneaq Jo P0LP 11 '01 az!S slea Jo'oN a8eleD .6 an'awl lave nedaH •g .--'`z 01--,9, P 4 /:o c{ -1--.),A 0 ci 9�'/tiL� 71 p )/ pipa4sgowap aq of Surpimq Suns►xa sI •L ??a,7/'t r u 1,r 4��,./../ ©(/ t'>a f`d� j�a,ra-J.i b Z/1.w 19 J1�/ cN J p./4.0./., d-e7 o-/ -?Th/ 2 4wod MaN '9 // ! �,? uonelal(d 'S / uoWppd 'b 2 1 /.9 / _._.c a1eu uonendx3 t n le; b!y 0 'ON asua3n s,iOS!A1adnS uonannsuoD•ssew C2E /Q -17^W t /) 'f� 1 fr (E. v� s1PPv 51.4 0.? .)Z J5 U./G,/ 9” loC7�� aweu s lapt►ng •£ S�?/ IA "l . v vr),/! „n3/5'• ssalPPd / )) el 1:Py 1 iV 11 f,' aweu spurn() •Z ',Nun �% 1-4--d-,) 0./..4 A 1 7Y1 4f �l 7 03 L 7 / uoneao" '1 a2ere9 medal' 213,1,1V OZ 1II1I2Idd 1101 NOLLVDI1ddd f=' 61 ,1 n 'SSVW `NO1dWVH11ON 0-, ?► suomppy )74 1 suonelal(y 'oN•101, dl 31a'suonelat[d'si!edag'suonippd snoaueltaosiW 3wuoZ L • I w C , c �^ c Z cn L v C' jc E ` L G ° -=Z w at C C u > • C. Cm -94 mmil a Q / ■-"'d.' '.. ''-0 — .\1?",i1 Q ji---. 1 1 (.7 i ! 2 i I 1 \ ■ _ A _-'-'• ' \_ j I . 75—>".1),.)C\--.- -..D• ........ _br-Dcskis : , \ . 1 , --- , • 1 . F.„_.-- ) 0 t , ....._,..... ., .7, \,,Nkt 0WS i z C 4 ni)1 D -CO )17n) )c.' , . --!‘ )-. 4, 1 -7------)--1 ) '\ ... .,...„, '1 r...„6„,7 ,,,,s _. ky s ivy:-7--y7 b b , ti\ .-/2 o ) -(.6•'/ •sopuotpnu(luputu5 muuod olguollddu Joipo purl su,oM ollgnd jo luowpndop 'uolsslwwoo uouumosuOO '4IDOH jo prrlog can won sywjod poilnboi Hu upggo pun s;uowoijnboi Ouluoz po qum Aldwoo of uopinq sjuuopddo uo onojjo,you coop Nuuod Bujuoz o jo oouunssl :310N a� ao - t--- • butpTtn: •. ay p p14/ / q 0 c� ,rA■ :ppaTnbax'aoueTapn . •a.x ' .ad buT -ur, :paaTnbag upTd agTs ao/pup gTUt.zad .TeToads :uoseag-_pe4uese.zd sp paTuao paquasaad UOTgPwao3UT uo paspq/paquasa.zd sp pano•zdd7 :xquo asn rvczroII o uoa NOI%OSS SIRS 'j ,I-4` : a•zn�pubTs s,'3ue3TTddV �) (/ �' :a4P0 y J. •abpaTMOUx Atu go gsaq aqq oq. ageanoop pup anaq sT uTaaaq pauTpquoo uoTqptuzo;uT auq 1?1-14 AgTgaao Agaaaq i :uoTgpoi3Tgaao • 9 upTd a4TS u2Td 140Da)S -,,A : supTd pagov44V • L -7,),:, s T 141.-2-4 f kl .,, pc$ >)7_i c ...-:,�,! »lcl u L',1 a cY (A.zp s s a o e u ;T sa.aaus isuoT;Tpp 2 esn) :qoa Coxd/x.zoM pesodo.zd 3o uoT4dT.zossa anTgp.z.ZPH • 9 (uor;.'oor 5) eutnron) TTTa • subTs buTpeo7 cej.. -'e seoeds butxaed c s ^'- (bupp-ed pup burprrnq snurlu ea.ze q.07) aopds uado% oT4pd paav aooT. • ,ty� 4 r1-P- abp4uo.td 0 4 L.L- a z i s qoq . apex - pi1•7 :H :Z OF, :a :r1 epTs - 4uoag -Ste, sxopqqas (4ur.z'dgood) ebe.zanoD •bpIS% ggbTaq bUTpTTne (9# oq' dtxs 'xxot aoTaaquT ATuo sT goaCoad 3T) 0.-4,1r?-4 Agxadozd/aznqanzqS 3o asn buTuoz Aq pasoctoad buT4sTxa • 9 paaTnbeg tt 1iA,1 2)'; ssa.zppv gaa.zgs • �t()'jvV(sApT no apnTouT) (s)goT.gsTo buTuoz '(LQ 1 #Teo.zpd t #gaatiS dpw but uoZ :uoTgpoT;TquapI Taoaed • ' ( ...V a -v...[, 1,..z.„.) 2 :utpTdxa) aau40 eassar espgo.znd gopaquoo .zauMo :qupoTTddd go sngeqS • C c; -- 5;) )) ,(f :auoydaTay 4 I, N,1,v, N �1, \ sP-�-,5: ssa.zppv c l'"\ ' o �- , .\n \n .,r :Agaado.zd go .zauio • Z 14 :auoudaTay " : , \ . - - �- 3 : sseappv r-D S.YJ ' r 173 :queoTTdd' go a.UCeN 'T (Z ' OTS) NOI,7,KOI'IddK imivad DNINOZ .oN eTt3 perca a4Pa r.2, 4Z: 00 t• At.. C• fit•r c,QZZ �Y� z O Z O 'd A 'd 4' y n, ° S 34`�1` 1 � O w . ,.. 0 4 a › o0, ° r O (7 O 01 •A.ae• 0 4. " a oz � A p � o' lq ° ( 0 O� ,__, co aC �' O N n :�D. O W �j 4A . ? In E. 'tJ'b �. ° 0 g w o n n 5 ° ate § C m td 5" 11, toi 0. gr. DJ CZ age " Fr.. g„ . .ocr,„ . 4 (,), ri 2 R O P ri, g — 0 m. 5 L co r . Ai r a.� . g ° 5 .- rt • 2ro fl1l0 " o p p • �D 0 Pi•lam■ '��' '�+ C�D ►� 'r� 1-1) 7� d 5fD � F; on� < = CI.) et) CZ as. tZ�-I j 8 2- C gg y a, • rt O• gr. a " rw- oPPol '8 S °.0 =I O CI) CM z C4 CA 0 5 g (....) hoind*Zi 0-3 Pr: a 4 rs::,- 5 5 5 tom ' `" �° 5 y ro rg P g g 111 p o a,o � 5 a ° * , aQ O 5 ko 0 T 5 T 7 5 °Q r 0 o g• , �' c :� g "r1 I1 8 `I ,� e" ; a ❑ gyp, A0 ° • O O O c. O ,.d g. �d cp D°, o' ao c O'Q o' tn• a = E 5 C; CT gay tZ giM .-1 s.-, = = = = = = = = cA ea_ r8 ril r� . . i V) z ° R. p o E. Z ui H * e, L