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29-372 (4) V III. ZONING • IFA- FRONT YARD SIDE • . SIDE YARD IX. SITE OR PLOT wuoouuww.uuw.0 ■� w � QQ�_�i_ 10lII�MM:r•HNN .i.f..t N■x. 1 w 0.04 I r ::fi.r■r.0 •xra ............ • H r i i • 44 :N11.SU. 4iu20::iM::H.11114:::11 a. ■ •u �■ •••: :.: N: uu:«af,. ■ ■aHr ■:tuHHr urN ■ ...■■..■. Los EW � w sN uee Ono a yN rr annesseng 11,.20.■N.aS.:.tl4sa:■a■.r..NHxHa• 1120 ��N «:: ■11::::u«:::bit a«« tii�il '3=f.■ Nlai Ur...i. Huffy. a it ii• i/iiN� •ru.•:a■.urN�Nr N..!■ •■ . . . ■ r ao .:tH.u.■■uxat■.ro r.su■ �FpI/ ; �■ • ■r�:y==j. r a a■:aai!«aliliaaii:i r NUES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants a Name Mailing address — .Number, s(r(•c•t, ci/N, raid NIatc ZIP code Tel. No. Owner or lf``` 'h, •il. r "a Lessee Builder's L. Llcensc No. Contractor 3. Architect or -- — Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING PLUMBING MECHANICAL $ ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obtai ed Number By Permit or Approval Check Obtained Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit number 2013 Building Permit issued June -r 197_ Building Permit Fee Certificate of Occupancy S Approved by: Drain Tile S Plan Review Fee S— t / TITL- o� o Crier of Wort4auivtnn � � �lassaclptsetfs �a (office of the �r gpfrtur of Auilbings APPLICATION FOR ZONING PERMIT AND Page Plot 3 °21 BUILDING PERMIT IMPORTANT — Applicant to complete all items in'sections: 1, 11, 111, IV, and IX. Q • AT(LOCATION) ` ` e C_ ` ` E a r r [ D 01S TN GIC T� LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D m A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m 1 ❑ New building Reside(ntial Nonresidential 2 ❑ Addition(If residential, enter nu �.1 mber 12 One family 18 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 F__1 Two or more family — Enter 19 ❑ Church, other religious W number of units— — — — --)� 20 ❑ Industrial lam, 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 parking garage Repoir, replacement or dormitory—= Enter number Wrecking (If multifamily residential, of units — — --► 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 Carport 24❑ Office, bank, professional 6 F-1 Moving (relocation) p 17 ❑ Other — SpeciJy 25 ❑ Public utility �h 7 ❑ Foundation only T' GwK:'.-r 26 ❑ School, library, other educational B. OWNERSHIP ` 7l�2 �'� �`'�'S.tL --" 27 ❑ Stores, mercantile ft 8 ❑ Private (individual, corporation, 28 ❑ Tanks, towers J nonprofit institution, etc.) ❑29 Other — Specify � 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garage for, R department store, rental office building, office building at industrial plant. !� To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical..................... b. Plumbing ..................... l\j c. Heating, air conditioning........ d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT $ 9,ae� Oa III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. y D E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE/DISPOSAL J. DIMENSIONS m 30❑ Masonry (wall bearing) 40 Public or p �vatdCbnfporfy 48• Number of stories................ 31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet Floor area, all floors, based on n exterior � 32❑ Structural steel dimensions ............/.,.x f 33 ❑ Reinforced concrete H. TYPE OF WATER S Y 42 Public or riv to cam an7 ✓ 50. Total land area, sq. ft. ....... 34 ❑ Other — Specify N pony 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... 0 F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 ❑ Gas Will there be central air 52. Outdoors........................ 36 Oil conditioning? P ,.. L. RESIDENTIAL BUILDINGS ONLY 'vJ 37 Electricity /'X/,l 44 ❑ Yes 45 _l0 53. Number of bedrooms............ 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevator? 54. Number of Full.......... bathrooms 46F_1 Yes 47 No Partial........ I hereby certify that the proposed work is authorized by the owner of record ' and I have been authorized by the owner to make this application as his authorized agent. SIGNATURE 'OF AGENT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE }q Zo DEPT. FILE COPY BUILDING PERMIT VALIDATION DATE_ june 3„, 19 72 PERMIT NO. 203 APPLICANT Ht4len DaLnieli4 ADDRESS 302 (STREET)creb�f[ Drive (CONY R'S LICENSE) PERMIT TO 111 @ }�Aan 62 NUMBER OF �� _.�]E21L•9 (_) STORY �j`�R2T1 j3Q7`[}®YI IAAL1Sg DWELLING UNITS I, (TYPE IMPROVEMENT) NO. (PROPOSED USE) ZONING 'gyp` AT (LOCATION) --- ) 7 Acre1WWk IliYe, Ii'IflT6tIlLTA DISTRICT u IN .) (STREET) 0 BETWEEN AND 1p (CROSS STREET) (CROSS STREET) _a d LOT m SUBDIVISION LOT BLOCK SIZE U m BUILDING IS TO BE - FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION I It (TYPE) o REMARKS: - aG?3atmACt- Q$mneL1t--J$G'Y'sn g zoen house AREA OR s VOLUME ESTIMATED COST $_L©O.©0 FEEMIT tV.VV (CUBIC/SQUARE FEET) V OWNER Helm DAM dal 5 ' ADDRESS _�� g crebrook Dj.Y$1 Plare�nce BUILD! (Affidavit on reverse side of application to be completed by aorize of owner)