HomeMy WebLinkAbout624 YARROW CIR - PERMITS - 4/8/1987malty O 'For-
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APPLICATION FOR BUILDINGPERMIT
AND
BUILDINPE C!W DIVISION
CERTIFICATE OF OCCUPANCY
-
Applicant complete this part of form only.
Press firmly using ball point pen.
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
lob Address �j Ct U/
P IllEl—. Str t Fire Prot.
❑
Name
Occ. Gr. Type Const.
Use Zone (, -
u Mail Address
Use of Building
L/.�S e.�
FloorArea "'Ma
Height
Phone
No. Stories
Lot AreaA00.31Frontage
6
Name .i rf
Occ. load
Occ. Change from
?
e Address
Plat File No. j jS - 3-
No. D.U.
7-
Garage area
Fin. Bsmt. area
License No. /' _ r r a%
Phone -!.%%�
Type heat
No. Fireplaces or stoves O
Lot
Block
Filing Number
— RELEASES — Dates
Subdivision riPts�S r
Zoning
e PUD t• F /� vu
Engineering
Parcel # u R
Fire Department
DESCRIPTION OF WORK
Electric Department
Water & Sewer
Plan Review
Tv
Special Conditions:
/
Valuation F ES
Plan Check
Mock Options
IlanNo. Codes
Permit
Parklanq
i
Est. Total Cost 'Ot
;including labor, material, profit)
City Safes Tax
St. Oversizing
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
Water Plant Investment
/
Sewer Plant investment.,.+
Storm Drainage
slw i_ ' I
istribution'. Original -Applicant,
$�""F+i •.fig ,.��GA�"5<:^. :^�:
Off -Street Parking
i4K( o.
o. Cars)
Interior Lot
❑
Corner Lot
91"
Reversed Corner Lot
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Jti
Street
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tPa'"t7�J'g?
ZBA Case #
Date
BBACase#
Date
Building Insp. -, Approval
by
date
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f! /
PTmutt No.
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