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Permit Nanmbefeo _
Date'
Planr!"O and laevalbpmenT Samicas
Building Braid Code Regulation vivisian
22M ftima r Aeranue,York pig-ma jQ X9,92
prone:VV2)492mIrDS3 Fag:V72)461)-1578 Commercial L -
PER v� 'r APPL, /t T ON FORS To BMW frOm dr@PbOx, dick Offer at the and of Glee
PROPUSED OMPROVEMFNT LO a iON:
Address: E v i n
Legal lN: cription:
Props My T=Ifs :3 C) a 7 _ La No.
Site Plan Name: Block No
Project Name:
Setbaeo Freera Rl*Side: Left Side:
Am
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[ 5eer
AWRIonal war
u r=11 nermit—Chaert A MOV WNW
9 H1/14C ON Tank 56 aps Piping Ushuttem Wind@ws/Doc o -
Eferetric Q Plumbing 05prinklevs E-16enerator Oman?
Total Sq.Ft of Construaiont Sq.EL of Fi or:
U liti m:ElSewerUSeptic muflding Height..
�I��1 •1 Y.Yy
OWNER/LESSEE.- CONTRACTOR:
Narrm . � •
' Name: C.J • .�
Addnm;l e,, Company:
C.itys • c'{r ;�'� Addre
Zip Cade: Fau: City-
Phone No C G Ll- zip Coder `- '77 S-, Z Fax
E-Mail. Phone No.
Fill on ft@ Olumple't°i H@Oder an nm dap I if d6 ea n E-Mail: (ry O �
from the Go-,Yaw il ! eD Staff or County License: C rs l ✓`
iff emi r o c n�t�ia�i � �r lg 0 Rt MDEO r36fge Cg5Iavn@acmraent is regadmd.