HomeMy WebLinkAboutX2021-2351 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application u?EWP
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Description of Work
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OWNER'S NAME Last
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Owner's Address
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Owner's E-mail Address
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APPLICANT'S NAME Last
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Applicant's Address
Applicant's E-mail Address
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State F_ Zip F Telephone—
ARCHITECT/DESIGNER'S NAME
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Architect/Designer's Address
Architect/Designer's E-mail Address
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ENGINEER'S NAME Last
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Engineer's Address
Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY
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Contractor's Address
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Contractor's E-mail-mail Address
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SETBACKS AR
SETBACKS FRONT PERMIT NO.
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SETBACKS RIGHT PLAN CHECK NO. 6 O 2[
USE
DEVELOPMENT NO PLAN CHECK FEES $