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Home My WebLink About4918 DAKOTA DR - APPLICATIONS - 10/1/2019ApOcation ;;AZ 1-1 1 a t 1J Date F.eceived Address � � « l/ A li 0' A � i City1StatefZip TOft (,)1Gj Address Phone N j0 f�av`:r•e, :� ®Single Family Detached QTownhome(attarhed) ©Duplex CitylStatelZp 1 u ma «le,S ®Apartrnent/Condo ©Garage/Other eti-'i�= �� 1' ©Bank ®Bar Church ©Hotel lotel ©Medical Of'nce QOfiice C) - � ,n- 0Retail QRestaurant Residential value will be calculated per square (1 sq =100 sf). COMMERCIAL: Labor and Materials S .,/si`l�i ,c r`�' �s 7;r Q Yes LJ IVO Q Yes (3 No G- p Roof Repair 49% of roof area ma)L Class 4 shingle is not required. oof Repair 50% or more of roof area. Class 4 shingle is required. -�6m]VIERCIAL STRUCTURES Are you going to be tearing off or keeping existing layers? If keeping existing layer, how many layers are there? What kind of material are they? What new rooting materials are you using? Is there existing insulation? Q Yes p No If there is existing insulation, is it staying or will it be removed? S Name Lot �2Ua( tI -rI, Address r7 IG�� ,L* hu (Un ( City/StateOp Phone Number 1�� 3 l } Email J J %o A� 3 G n I.,(, YT>,R:' Q Homeowner Q Payroll Employees Q�Exempt Roofer (1099): EX- g (10 F Q Company 2Name: •p 0 4� { e 2 License: �' 0 Certificate: Print Name Signature \ Data J