HomeMy WebLinkAboutX2019-0756 - Permit ApplicationCE
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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OWNER'S NAME Last�1� I y rel
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ARCHITECT/DESIGNER'S NAME Last First � Lic. No.
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Architect/Designer's Address
Architect/Designer's E-ma'idress
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CONTRACTOR'S NAME/COMPANY Lic. No. F Class
Contractor's Address_ Contractor's E-mail Address
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SETKS R SETBACKS FRONT PERMIT NO.
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SETBA� ' SETBACKS RIGHT PLAN CHECK NO.
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USE ZONE DEVELOPMENT NO ( U G " PLAN CHECK FEES $