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1987, 07-21 Permit App: 87002244 Swimming Pool(THIS IS NOT A PERMIT) BUILDING PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND COMPLETE IN INK (Please return this original and your building plans to the Department of Building and Safety) .,......••..,,,,"..,,,,,..,..,,..Lr.,,,, ,., r,L.r�� If „total Number r.+ ,",':Y'y ^"k Owner's Name ,LAST FIRST MI sNIDET< pv4N17- R, Project Address (Street Name & Number) Zip 5- , ae os- BEST / VEMPA-LE u),4, ' 7 903,7 Applicant T/v PE/"e/A-L P601-5 IN6, Address N, .3"--43-70 ,Rty,q City -509X_/1/1/4"-. State 1,0 A. . Zip 9 7 Ao7 Phone (€19) 987-6620 - Business Phone ( ) 1/47^-c.“ 7fZ Contractor/Agent ' Iiipi.: c/4L, PMIS IJtt , Md ess A•s57so ,rw-y i City __SPCK/WE State 44 Zip 99P07 Phone (ioy) 4'89 7y - Contact License Number (Required) Business Phone 1 ) 4789-4-6751 Architect/Engineer --litiFTR/f4L P iA5 Mt , Address City : ( - State - Zip Phone i Contact Business Phone ) Lender Address City State I Zip Phone Describe Work:..,' 1-, •ry., _ rte:_ icy .t.. ..t+ ,-�f;, h,•, ,..}. 'v.,; Res: Comm. Subdivision/Plat Name/Short Plat Nur� Sl/�'9i Assessor Parcel Number, , �/`f'j�� ' - .-.ZAP/ �L`- //_ d. .. W'U,!,' .... .... _ I &—101(0. Lot, -ar :.,Xp"'.`:' ..t-.'i..«fit': • «„ ,_°; ,Block ,. •^ •.,~" Plat Nurnoer,,' J�:I: .. „ ' . ;a,•; Pertinent File Numbers '-..,-&,+-Zone . .rip: . �_. , r Comp- Plan ..... --C.'", - ," Census Tract-..-.,a-;r'',3.T`^Li Number of Dwelling, Units .. ... ,^T... .. ^' 'Number of Buddings ' : .♦C' hrR1r - '�fi`', Lot Size (Sq. Ft.// Acre) .,.. . f.R'.':\ .n 'Right . _ 'S)f:.':' Depth:,, S„'.,.,, _�f y'.'4rr'q'°Ay. . Frontage .;, 4r.. ti.,n'/I'C:�LaLi"kF^' Front Setback Left Setback•: - Setback-, -,"*/ tv;:::- - Rear Setback •;;•,` Y'-`- R/W,Width%''-V,r, -: Additional Information . ;;BUILDINpINFORMATION ` .'4' ';i Square Footage- :•tom Number of Bedrooms.',. -, r Building Technician Dater -K- tc� - - Type 7:2-_:! . -�p�-��g�� ^v�— I � 1 tssl 4L . ! ' 1 • '_ • / . | r | _| // . ` ' � | I . � /•. | � . r � / 1^( � � r ;,| 1. ` • / . ^ / | / I . '| ' '• | | | --l|/ . | . | ' | . 4 r'w ' . _ r .„1 ~./ ^ ' ~. £: ; ! .° . / . |•. / . ! 1H| I. .I 1- 1- 'i I • | |. ] .'| | ' ' | \ 'I | " | | . .y, /| .--f-- / /n | | :I !| / I / r- 1 ` / ! i . i � i | --�-T- ---7---------- .. . . . . . ��������� . . /. $, ' .1 I! 1 i � | • f^ . � ^—{.-�--' ^/ |' /' / '\ � � `� . . � . i . '. / � . : |.` .| �� ` i / | . . . 'I i •i �... � ' | �-�| . -� - | | ;t ` | | ' ' ; / 1 / . . / ! ^ | | — i i -7 | | ! / —r— i . . -- � r / + ' � �•' ' � '� | __ � 1| • ^ : � � � L ' . �| -T-- --- T------- ------ -�--,-�--; � | \ �| | | � '' | ./ / i | |. / . i | ' | ' ' ! � | / !^ � ' | __ .~> � \ | /' . � | i •� ._� ! ` ^� ' / \ -i -- --�----- -----� ---' ��� /' , I ' '• i \ ��4� _�- '� ' '-- •..., - -._�'_ �_�_-� ' --` -- 'r'l-__�-t;---__-- . .� | ! / � ' I. i / . i ' ' �� �|' ~ � ' | ��__ } _� i �_ ' : -----^ ��� I. [--j--^�' ' '--- � --F--�-| -'--- --�—T —[--l--'--''-J--r— T . . �. . � '� . � . . � ' / �_� ' . , ; | / 1 . / +f-1 . | ! .' ) •! �. /L u� ' \ ""/ � | } � |/ /~ \ ] I it—i �'-f� - ' ot / �'J / ^'-~-- , _.___~---__\___1' .L- - , � | ' � . � di Show on Site Plan: Additional information: Lot Dimensions Landscaping Existing Structures Drainage Plan Proposed Improvements Hydrants Structure Setbacks Topography Easements Lighting • Septic System (s) Signage Water Lines Shorelines - - Sewer Lines Highwater Mark Fences, Wells Driveway(s) - - Right of W,ay,Width(s) Narneiot'• 0, 4. • , Fronting Street p, Flanking Street — I it ' . � / � • . � / ' ] -. l � 1 { I' '' i •i - 'i | / | r� ' . . / i 1 | ! I' " I i / �� .-r-! ' : ' . . ' / I / / • ^ . - ! :fi • 4--f--'• ; | , | . ' ' ' | |' ` | ' 1 / i _'_� __.�-� / l / ' | ' : l' � 'r--- --'• 7-- / . II ^ •• .' ' ' �. = ro CM �� '` � � , '� • .^ ° . � ..I,� A. �^ � V� -' �' , ',...7‘ . � . * - � .� `. ' *Let. . �'. n . / ' � . . ` / ` . Lt. � . . . � ' , . . . . . . . . � . . . . . � . � . ' . � `. ' | ' : l' � 'r--- --'• 7-- / . II ^