HomeMy WebLinkAboutX2021-2861 - Permit ApplicationPrint f=orm Worksheet for Combo Building & Solar Permiii AAppliation g
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Description of Work
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ENGINEER'S NAME Last
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Engineer's Address
Engineer's E-mail Andress
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CONTRACTOR'S NAME/COMPANY
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Contractor's E-mail Address
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State I cF'� Zip - Telephone ["r1 •95"4806
SETBACKS REAR
. SETBACKS FRONT PERMIT NO. 1 2 CQ
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 7/ I
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $