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<br />City cr Npw Bpightc~
<br />801 5t::- 71.\-(:. f',i':l
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<br />N0\\7 Dr i.;!lJ-C'T1. l\i11 5 5 ~t_ ". ')
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<br />APPLIC~!..:;:O::-J FCi~_ Bu :(LDI:ti!G PERMIT
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<br />Recpi."vcc": ~j5-/17
<br />Fee: / I
<br />:l\ccepted:
<br />Case No: ~?'-~1
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<br />If spaces provi8ed for nnsvrrs are insufficient, use ad~ition21
<br />sheets, keying information 1:0 the proper number. Please type
<br />or print in ink. 0
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<br />1. NAME OF 'PP LIe'NT "f?i::. vA iJ T' -h2A AJ K U I"; -\Q pc1 (,-~ iJ 'I"" d~
<br />(Last). J (Fi. rst) ,(Midc Ie)
<br />C /) /) -, ()~ D j. j Q ~J-~0:/711
<br />2. "'DDRE~~-~ OF r'PPLICt\N'::..' L..L , U. .J' ., lLl, I/iC,cl <.vL
<br />;y;. (No. ~ St.) (City) (~~:J.te) (Tple.)
<br />. C' :0 V J b_
<br />3. N~NE OF ovn:f-;R. {'f,};}LL/ ~ 1:;;f1&JiJ~~. <:t"" "'-.fe l'LAt?t:> k.!)2Bltit[i1
<br />z. (Last) (First), .'.. / . (r.liclr:le;. -:~ -;-;';_
<br />-\.-:'I\(..,>{t,,~g, '7z;.~ (-!I(f: '--,I.!.'CL/......-r'r:120...Jtl..-'r:.. N;;.: /~,IL-,'i:O.
<br />-l-- -\ ", V / I'j' ._ /) 11 . -'10 ,"" I .' ..:. ,j
<br />/ ) to ~;". I_ , . '" .I..... -1 I" -~ J ,,,- .. I ,,_ ,/ - I / '- I
<br />11, . ADDi<I.:SS OF OvJNER /-:)/"'/1/)/1-/ _Ll/ 'f' . ,/.::, 1.....1) Iv"t. {I./C." /t"y.:.; ~:' ?;Y ( .J
<br />(No. & St.) (ci ty) (sta1.:e) /,,/2 (Te 1e.)
<br />'~'. /<:-;,.
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<br />5. STREET ,n-D:JRESS OF PROl?3RTY INVOLVED_ (/ [~_ P RT Vt.~p
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<br />6. L:SGT,TJ DESCRIPTION OF F;~0PEI~TY INVOLVZD ~:;if, ::~tfgr'~
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<br />j-/ tOe j f
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<br />7. J:j;' (i',!~mD BY APPLIC7.l.NT, OR PROPERTY c-"7NBR, LB.:;:-., L D::;:SCRI-l?'f:r:ON
<br />(i':::' PROPEr~TY CONT~OUS TO ..fI.BOVE, D.E:-'CRIBED FR()}:':ERTY
<br />\-',\ \ (,\..\. lL:-v\ \.' i \ \ [I ')1.. \~\.' t)... S 0_ C, t1 '" tl-L~1
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<br />8. PRESENT ~ONING DISTRICT
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<br />B " "L-//
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<br />9. AREA OF 8I'i'E
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<br />t..,,,", 1 . I i/~, f., '~-:l ....,
<br />llfEb.L-""/.... _I i/ A lk. (c "7
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<br />10. l:'RESENT USE'. OF PRO:2::::r.'..::Y
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<br />({. IV i I~il (y ~ ....: ...",':.:-' j:) L (:-;-
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