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TOWN OF \eC' c\ <br /> BUILDING PERMIT APPLICATION <br /> Date: C/ 1/ 1 5 Permit#: <br /> Owner's Name: '�', Li,,J(y� L fZS5 Address: Zorf, .SIC}2Jn E •VZ <br /> Telephone #: e47- S I�t-'73,3 (CE%(') Zoning District: <br /> Parcel #: X. 1 l Za z4 Z-3 7Q Number of Units: <br /> Permit for: j b I 2 I/ e L CMe-"&CT Proposed Use: Q 1l' etrI, L_ <br /> Subdivision: lettokSA C.QOi Lot#: 1. Block S Z r(oay/QI E <br /> Lot Size a3 X 15DAto Project area/volume(sq/cubic ft) 1S90 Q. <br /> Estimated Cost 1r 3c0. 00 Permit Fee <br /> CONTRACTOR INFORMATION <br /> Construction: t—cDrvt Ou.l,(c 12 Phone #: Lic # <br /> Electrical: kf 0t--tc% 1/A Phone #: Lic # <br /> Plumbing: N. OV J , /ba Phone#: Lic # <br /> HVAC: /Ji O0E a4. Phone #: Lic # <br /> Notes: 1) _`-_1)l,AC. : C)CUL/.)!� / CUv Z 0/E-1-2- 1Z7C'Lsf-)c <br /> aQE9 Q f lY s-uc 14 -0- l L-) BE <br /> A PLAN MUST BE SUBMITTED SHOWING LOT LINES AND DIMENSIONS OF THE <br /> PROJECT. NO WORK SHALL BEGIN WITHOUT A BUILDING PERMIT <br /> Ow r or Contractor(sign) <br /> Approved by Date <br />