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BLD1987-00435
PIPI7 _ __..: ---- ---- ittie Of: '€��p.1t) fropraphic name •, SIDE OF, �t'; ...., 11IT S ROAD ...3a 2 FEET �FFERSON COUNT' S*FROM INTERSECTION OFIt1;'u1�� ROAD AND X r r { ei(r, i.`d._ .,`1 t. ROAD 4 F R 3trUr /ic location or landmark: . t1 PLINNNICHNIFIAS SCHIPTION: I() .t. . rl) O0/ LesS � /Uc, Qciktync Subdivision By Pa ..cds.t� Block •- I t z(t X 77 7 700 0 34-1 y, hoot'Tax Number Y.Section Section Township Range II.TYPE AND COST OF BUILDING - l " -tgFI14 .21.-I TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY ,''' New building 0 Single Family 0 New County Resident Addition ❑Multi-Family Is this structure to se the residential number of units or commercial s of those employed ❑Alteration 0 Hotel,Motel, Dormitory at either the U .Na vy's Trident or Repair,replacement number of units Indian Isla Facilities? . 0 Wrecking Mobile Home 0 Moving(relocation) 0 Other—Specify0YES ONO ❑Foundation only it' (C)cO USE OWNERSHIP 0 Full-time Residence ❑Private(indiv t,,'corporation, 0 Second Home:Recreation Cabin,etc. non ' institution,etc.) ublic(Federal,State or local go✓t.) UBC OCCUPANCY GROUP: i -_3 0 Second Home:Future conversion to permanent residence COST (Omit cents?, Nonresidential— Describe in detail proposed use of buildings,e.g.,food • Cost of improvement $ processing plant,machine shop,laundry building at hospital,elementary -- .NO To be installed but not included school,secondary school,college,parochial school,parking garage for in the above cost department store,rental office building,office building at industrial plant. -Z-' a. Electrical If use of existing building is being changed,enter proposed we. b. Plumbing ?ea - ( ?t / c. Heatin ,fir conditioning 1 �/T31 1 Ct / p -other(elevator,etc.) 1 / • TOTAL COST OF IMPROVEMENT $ I, - C F III.SELECTED CHARACTERISTICS OF BUILDING f (... DIMENSIONS "I PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL •Number of Stories t 0 Masonry(wall bearing) Q Public or Private •total square feet of floor area, { 0 Wood Frame ,} Individual (septic tank,etc.) all floors,based on exterior lC dimensions ` 0 Structural steel TYPE OF WATER SUPPLY •Total land area,sq.ft. Reinforced concrete 0 Public or private company i Other—Spec(fy NUMBER OF OFF-STREET t -\ [Individual (well,cistern) PARKING SPACES r Main'Tl l Cl (`, Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Outdoors 0 Gas k; El Oil RESIDENTIAL BUILDINGS ONLY Number of bedrooms lectriaty TYPE OF MECHANICAL 0 Coal Number of {Full ( 1 ❑Other—Specify , bathrooms Partial j f IV. IDENTIFICATION- . • l Name Mailing � t�,(' Address� —Number,street,city and State ZIP code Tel.l No. 1. �© c(, Quaft 157 V) W ''l • iZl - �l�(� L7�-�15 i ek a iv) CSC C - cot 56: 2 ,. 1 '—fi)' 2. Jei L-i 1LiSL ;2. .` Z` 514 t'i (14:ii Pet—/ G'lL-ss rel I C(,)e! 9'7,26G 3 i.S- ontrarSor 7 r f j 17 N 1 q7p�l /D /p�/g - .�‘0 r2 . L . Architect The owner of this building and the undersigned agree to conform to all applicable laws. . Signature of applicant Address j ?p,22 Application p007 d ion date X / � yt Ov l ,//e/'vl[ r 1,0( J /isle!i;) rf4d'e� iumichl.7 PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT - -APPROVED BY /Z.„Id 1 c-l - ' 14fbut/4S. 60rsrftuk 6YS3' (,a..lt �ilk 7 uRS. , r�Z . .r TH DEPARTitENT K �� PPRt ISSUE DATE CEfPT USER APPROVE PERMIT FEE 7s t Op Cg3o-.7) - �� io ;© -5-5.7 �ixJ / - BURDING OFFICIAL Tie Pr ,iris- -- P, rt To.+nsrnd H 1 .— / 9 1, 4 ` aAm I I * �/� lox / � ms' ' �J�O i NCf LINE G* y % 51 9-9 •C 10 GRAVEL DRIVE , PO 9 --\ too' Yo \ 1 A Air►RIY 9S � ' \ 00 Y \ 4. 1 if f o n I/-./-l \T.\\--% /'j' F f ?VS"):\ I I 77 yr r ��N � �� a 9c p o p F r t I Qc I p O m oo \ 5 9 rl/ / •J, z /L J 9 O 9c � 9 / B C 9` S / c 9 .-�,ly 30' I :t,° �' t m 5.0 / / 6 / •A A v A pcl„ y / X r mop ..- C-C+'— 9j0�, / 3% 0 i pPc 'ft u B/ 9i0z A z1i 3 /iCola ;' 'A G "9� >b 9 p o m J B A C p I �~ B m m C•, 9 k." m / / vr r, 9) c D i Y �? II' l' 14 .Q n A9d i O 6 N 9 L y/ 6 ...... y6 • /- -' N s / Vs, —// A /2C‘ � C nvN.I. �i 9D � vno�ss!' / LJ4 g</D/ ID e zmL 9�''''� \ ro Z x= p� gS F� / y ..ram - s06.4 1 - .n -CI Vp S9 n ` \ • , 9r, 9j P.ss : 0 7,-. ( s. i ar-~4 a � I5.5' I a \ = o 91S \/ r hi c \ (m9 r� Z_w , npA m ro / 9 61d/ ) �,iz 9I0:8II pl / 9 i _\.1 , (--1,_ .-iniv ?,-, MU K. Ili Z .v., s /4) ,.:,) D / / 7c _-----7r /�� -� / - BLUFF S�/�r� �9 1 -- -1 --- .. TOP v OF � 9 57 F7. - -.`- - - b' s APPROVED #; e? ---f SS Lie. <----Y c-n ..._. Cam- lL.s,",t 1 / -- 5.-( 2;2-1 n /14-6 119 1-412- —1--t-ksi, a , ., ....itc,..,...,.u._s 0 s VIai‘al.... 14n si '�e — S° wit` 4*''„� (9a`---k„. b d /1/ RA/32 7:3("*Cle-1-7,...7:7 _ ,frt a 4,4.t, it/,,..„_ o1,C dv 5-1.. *SPow.,s c fit 4 w!^O /LA-) 6IL-s i/ 1 i { 43 4.> i---2 ii J t 0(C vi- c./ _