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Park N 90 Billboard Structure . ~ BUILDING PERMIT APPLICATION WORKSMEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND (Pleaae return this orlginal and your buliding plans to fAe Oepartment ot 8ullding and Safety) 1 'aName , ~ ~eat~ (In9t) (mI ppip~rtmentl~eOnlr L fl. JIPGZ ~ oomm z a~otac+ DAdd I mwir I-Aear" Q Hame saace zip A' o ,',t.,.t~. 9 G l~ornm~+lty St#t~f'1 ~ lviafonlWat Name ~ ~ W ' ~g= ~ /~1 ~-a►t ~ ) F+oro~e+ No ~~p Lot ' Btock ~ t• t OEPARTMENT U8E ONLY ♦ 1~ * . ~ 5 ZorwAct / , Pr 40 . 8 Owdl I Na ot BuildinQa / e Depth proaMp 7 Sa~ 8dd~~~M ~ 0.1S-1 pi)8-2 ~ Raer t;naua Tract Nbdute No Inittafa o J U N01 * 18 tiqgW Rrm Nwr~ 8treet Addroee , • ~ C ^ G►ry (d_~ ) ~ a oa+caot P~rson ` w+a~e n atR~t ~r~ ebove ~~~ILd'"7~ ~c l 1 ~ i 8tiroet AWroa _ Dp a e ~ L►~ x~~ Ca ~ ~ Ir aontaa uoenae ~ ,rt ' F+w~e ir e~n uhan eDove ~UP C~~ ( 1 8 OwnertAOM (if diHerent than f1 ~ 6uelnesa Add►eee 9 2!p l State phone { ) ~ ~ 12 fievlew Repuired Pian (YlN) Other (YIN) $EPA Exempt (YIN) Qatp 15 Type VYoVA :7 8tdq Cl MH ❑ New C R~le~e O p~her O Flre L Demo Ci Add/Alte► D Nbve 44 Oee0rib0 l! .-1Gt 1 t - ~Z Lr%. A 10 ~ 6treo Addrasa „ zi ary Pnone , 7 ~1 1A, -44 SUeet Add►eea ~ Zia L Gh► State Whone ( 1 Contact Piarson Wtone If dliferent lhan a0ove I 1 AddltfonallRforntatlon ~ Gj & A24k PL-Ar,~-- &Ie~ IjEy A!!r c5~16,ov 5' ^d r 4AJ ~ 45 - ` ~ - - ~ i DEPAFtTMENT APPRO'VALS , This is i iot a Permit Applicatlon Type (Startdard unlesa (Indlcated appravals requlred in elther "reIease' or Rrelease wfth conditlpns" oiherwlsa Irtdicsted) 8pace prlot to permlt fesu8nce 0 Fsat Traak Early Start Reteaae Release wlcond t Hotd 2 EnVtronmnnbl Fleatth C.1 Cammerclsl, 0 Residential W 1401 College 0 New CanBtrUClIoA, E'j Bldg alteratlonlatiditiort 200 0 Addltlonal structure, . , APPLIGATI4N M Condltfonsl Commenls 0 Piann#ngfzoni0 Cdfi1t116fClAl; 0 Cert at Exemp#ion, ❑ Frontage; - , , N. 721 deifel'~n 0 8etDacka, ❑ lo# w 1d, C) Iot s1ze; 13 ueeltoneT ~ r 0 CU, varlanca. zone change; shoreMlne, ❑ fence; C! Otfier Omdlttonal Comrnents 6(44~h -G1C az/x-- 20-- Enghwers: 0 Cornmefcial; Cl Residential, 0 Ftcod Plaln. aLA N. 811 Jeifa{BOrt 0 dralnage C] new accessl$ppraach, ❑ fenc8, - 0 road Improvementa Co'+dittana/Cammente. ~J4 • , uau~: N Blf dettersan ConctFtiansl Cbmmente Q PEen £imrn 4 FfroP►w. Conditlons t Cam men#s. a . 40 6-a . ~ Pr+aject Reprosenfetiwe TefephoRe Apencln PeNofming Speclal Inspectt4n. ~ 2 ~ e 3. 1 lndkefs above or atfech oonlltfons reIstir►e !o linal e* bullt epprorvel 2 fndiets ebova or altech remons for hold I ~►Y I ~ f St. Noo _Gity Oate Lac on ,C7.1,~ . - - , , ,A 1 e v F~ I.ogal_ O~mer )II1121eim C;oC~Address 4 . r ,I&caticn Claes Traffip + I ~ , • ~ ~ Ood vatiowoi f(b LP61L q,C~ ,0itllc ~ - ' m Li ~ a • . St. No. City Date , cation a,~1'► ~G7 Al L4 G ~ I,eqal f L r1J , OWn@2 lelr,~'CL~/ Addre'S a G Z~~7o 1.9cat3on Class /V/ Traffic / ~ y . ~ ~ ~ t 70~~ r ~ cid 1 -1 , F~ Ltt'~tt : ~L.. r~i~.. 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FOCOICTCAO 5.1~15 : f jLqE WAN & AS,~~ATES INC. ; 4321 MernorwState P °HM "Q 3 E OECATUR. GE 30032 c~~euureo sr Q~~ ' o•~ Z'~ 6•~a~ ! (404) Z~~l I ~ - cmecREO er oATV ecALa ~ i ~ ° P ° ~ i ~ * • ~ ~ ~ ~ o - - ~ ~ ru P~Rt~.~ i ~ CWC4 CL4~5.~~ ~ 1 _ 93 w _ AsS 'VMi Co4hAds A'rt 4~ . 4), I 1 i 1 t ~~t e r ~ _ _ ► ~ ~..L-oCATio ~I S; - - . - - - • ~ - ~ - . ~ ~ V ~ ~ : ! 1 a' ~ ~ ~ Q 1 ` 1 ' • - ~ _ r....~ ~ ~ t' ~ 2Itrt•~ . " • ~ ~ , _ ~ l.~ _ a i - ~ ~ . r --.y - SZ .Z'~ y 2 `K`~° .d ~ , • 0 11.4 Q _ ~ _ ~ _ ~ _ _ _ ~ a _ _ ~ - ~ _ _ • ~ _ J y y 3 ° I + ! • • ~ ~ - r j ~ _ Z~ o ~ ~ ~ ~ _ ~ r ~ ~ . ~ ~w+~ i Q ~ ~ ~ ~ ~ i ~ ~ _ . _ _ ~ ` ~ _ t- ~ r-- -~--_•._~f ~ , , ~ . j- . ` 6~vMo _j L 28 S` OAS) , ~ ~ ~ ~ ~ ~ ~ _ ► .r • ~-.---t ~ ~---r 1 i i ! T ' 4 StGN AAA ~ _lit~ 5-4 - GA-PI'p-,. ~ _ w ~ ~r....~. i . ~ _ ~ ~ ~ , < < ~ ~r• k . • M(F 1% P51=- ~ a_. ~ ~ ~ _ _ . . - . ~ . » • - . ~ CooD WoIt 3(. PSr ~ - d - ~ . ~ t ~ ~ ' . 'k o.9 !;J ~ . 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