Sprague E 11409 Donrey Outdoor Adv I 1 ~
I
♦ ~
BUiLDiNG PERM1T APPLiCATtON YVORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNOERSTAND
(Piease return this orlgtnal and your buiiding plana to the Oepartrnent of 8uilding and SaFety)
first) cmf fleparta,e~,t ute oniy
IOy~rser's cvame t
+ ± ~T ~ rtl~rjzy 0 Comm
2 Pnojed Add (nct ng Addresa) cr Road Name ~ SPace 2Z P
114-UN
L
3 Ci unity 8laie SuDdtvl9ion/Plai Name
~10, Wfl , 0 o
4 Parcal No ^ Lot 81ock t pEpApTMENT USE ONLY ♦ t*
1 ~ ~.15 4
s sicamm zone nct 0 zo►e Pro,ect Ho
e 00018110 rlo af BWldinga Sq Ft JActe OeptA Frcntage
.
7 Set Badt-Front (l)S-1 (a)S-2 Rear Ossus Trac! Madule No InNiala
t16 Ar+ehitect Flrm Name Street Addresa
, ~ r r.< ~G~ • ~ I~`!~ L.c~ ~a. ~CZ'.~~
ZIp , a~y+ sta_te 6 Phone - ~ ~JAf7 I71P, r ~
ti Phone tf eirterent thar atsove
PL s
~ ~
.(bfltl~Ot ~ HSfTkB ~ $tfaBt AddfBSS 1
( ~l,t.~c~ce< t~''C
.Do
11
2►v ( ah4090-6-
Lice stat~ ~ Pnone , 2-
0 PhanelFdNterent IRan abovo
11
~
a oNmaftage„t u+ d-Zee-rat ►na, waeo,►e) ewiness addrese
- 9 Zip Gty State Phone
( 1
~ .
12 Revlew Required Plan Cheak (YIN) Other (YlN) 9EPA ExemOt (YJ N) Oaie
15 Type work 0 Bldp = MH Q Ne+~v = Replace j/pther ~
C Flre 0 Oemo 0 AddlAlter ~ Move
td OesCn Wot ~
/T X75 ~ ~ .
~pllcant f~c,! a7, AJG.2f J~tS r~'ei Su~t~ r/C`/'S Yr, o 0)
11 Zip ✓ Clty / State Phone ~ ~
l~~rl 0 ► G~
► ! 1
* 1' .
t.ande. - ~ slreet aoaress
2tP Clry 5tate Phone
Cantact Person Phone at dlltersn3 1,3r+ dGatip
adaicraral Informatian Di AA ~
~
~ - ,
r
ti
-
Date
Ci ty - j . L
St. No.
353 LLYO
&.O,~ x ,
on
Lo c a ti,
7
[,eaal
Address
tlwsier
` ~
Location Class Traffi _
~
,
~
~
r
~
V~Ih►4'slt ~{~n
tiva~r
4~w
~
fi
Y - - r
►
~
~
,
gTp 833 *g ~~A pEPT14
CpNgTRUCS OfiYV~lEII. ~ -
ppECAST C01rC• Q ~ StGN
- ~ ~ . M ~i. ♦ ~
~ t
)NC
, 51GH
gNRU6S r , ~f e~~~,~e~ ~ • G~~ I
~ r ~ • v ~ 1Rr~
't ``~r
/4:3 ' •
, , D.
~~e`;) ~ ~ , ~ , , ~ _ ~
04-
~ ~ ~ a~ i~ll ' d i
i~t^
t
: t~'~, rcG~~'~~~.!/- ~Y~k y+ht i c • t ~ ~ ~ ~~q~ ~ -
' ~r [iyy V r•"~ y+V+~~~` ;J~IL L~~i~~r I~RSrP #.I a~FC~s+[La ~ ~i d ~ d y o ti , ; r `
. t' ~`1~ °P Y ~ r. ~'y~?~' i ♦ t,~ ~`l ~ .S ~ ^ ~ r~~ o f,,~
ti. e a r t~ L+~.L`S ~ S v.'r"•~ ."~a~''~t'`p d +'y t s~ i ° ~~~'6~"'~b V
,
.40. :y44~q'~''a
~ yi • ~'~or rY' .,~`t ~.~~.)r^ 6" l 1~"'~' y, ~li" ~ n
'F~ + t r` A ~ t4 R C
° • o • ~ q~ RA w~t ~M4►jp ~~(C°'~r'R~,' ~ 3 e p ~'lA~Jc-~ iR~ >~f~~* ~Q i A r,f,r•~ J 4~~~~~ y I .~1e M~~ P►L ~ ~i a ~ 0 e ~
41 ~ ~~,~~Yy'~ ~tq~~t~~~10yF ~~*~'~r 5 r yJa.~~ 1)C y• ~t. ~ T
` t , ~ ~ ~ ' ni a~ Y. y N~ ~,ad` «Y ' ~ ;~~jiy yy ~C ~ ° ~ k ~Fy an,y~1~}' * A{~~r~'~► < , J'~' n 4 ~ .
f~1 ♦ ° + a0 r f! ~ ~~iyrr~~'ty~ ~~,~r ~ ~}R~. ~ ~~~v T~„~~~ f~' t r'~' ~I~~YG,~~~g nw+ ~ i r~it~'.4Fi'~~+t- r~ J p ~ b ~
MAD t9 ~'~~i-~'Vf~~~~~ a y~ ~4a~~~~t~aYA ~ ~ ~,f~ ~'~`'~'ur]... J~1. '}'^l~~ •
a t~ f~lr ~e a ~ ~~'',.,~~~~^"y ~Af~~Y~~rk~~i ~ u1 ► t~+'r~^` t ~
li W-7
~ ~ ~ + ~ v ~ ~ ~ ~ ~h '~y }f MtT~~ ~ ~ j ~ iF °1P ~ ~ ✓ ^ ~
4 A( x ~ b~Y1i• a T' J ~ `oo ~
q ~ Y ^ ~
't
. n
4+ ~ i
t"~ ~ ~ ~ , ~
.
~ ^G+ _ y ~ ~ A p"~ 1 I~+~t,~~~ ` ,p► i .+~,e ~ ~ ~ 1 - ,
E
Sta~ `1~'9►~ y~~i~ F J~Y ~ ~.b~ o 1~ ~ y-~
s
V~,
~
W, ~ ~v " _ r Fo , A
o °e s. ~ ~ 1 .(r._ . 4 fl. .7~ ~ `'~Y ~r r F. a+ 71 < ~ v y ` 1 ~ ~ • ~ f~ y~.~ ~ ~,~.~Y•
lM~, ~ ~so 1 ~l~ ~ ~ i ~ ~.~5 r~ ~ ~ J+r ;G ~ ~ w h ~`t d~ n t { ~ „ ,~rs a 9 ~
1 ~ a ° ~V' ~ ~h , 'f M1 ' ( I 'r , ` f ♦ f ~ t~l' 2'~~ ~ ~'R y~,Z;O
♦ i 74 ~ p.. ~ ~ ~ °
.r,y~,t
'~~`~J~j , 7a NZy ° 4 9 0
"a5'-L`, ~'3 G
.~4 ku° w~ 'n w r,y 1 ~ n
y
y ~~^Mt N a r~ ~ 'r,~ ' ~ ~ '•I~ ~ ~ ~ ~i~p~ w. . r~ ° ~ ~f e " F
cI ` ° :W ~ 1 l~j+~Ki .~'~~~~y 't~~ ,T' ay ~C ~ o ~ Y~'4 A ~ ~ y r e ~e~h r + ; ~ 7 • ~c ' ~ ~
y`y 7{+'~f +r~ b~ . Ar 11 t ' S^ 0• d~ a ~ • y ~ ~ e a t~ ~ ' . F ~a •
~ . w~ ~ S o * „l+ '~~'1M " ~ k hh G ~ ~ ' ~ d ~ ~ . ~t • ♦ o • ~ ~ ~
• ~ •
Ak'
qt} t~ ~ ~ ~ ! ~ " 1`~C'~ ~ ?a ~Sn~t.• ~e n .4
c a ~ ~~7►YrMf ~y ~ ~ ? R ~ ~ } # ~ 7 .~l L~ osi" ~
a l~~~ E~~ a 4~ 1~' 1►r~ 6q t i~ra'i ~~Y 1. 1j ~ b i '3+~~'~ , i. t~~yl~ ~ ~ r a tiv R1F
• ~,f~,~+ ~s,~y 1~1'~~r / ~qY~ 4 11 y~~,~r ar~s~
~ ~ 7 ~ ,~~~i~ {1' 'iyN~ ~ °y ♦ 1~' ~Y ? U ~ uff~ ~ ~ o 41 AE
~ 4ti~ t f .r. ~.~6~t
t
AVr a q-~~
-~~-*'~~H
~ }
~1
`A $4 ^t ~
Q5:~~'
i+~ ~ 4~L 1° f'- S~ ~ ~ J
34~'S0 R T CONS~~~ T PAV ED
STA 2pTH pRECAST
- ~ ~ '~'T~ ~AS IN'fERCEPYOR
10 4 pRYWE1.L
\STA 233+5o RT
RUC~ EXT~A ~pTH ~
1 W,jS
- . lv,rrc ORYWELL
~ i " ►Jc a~ rc ~
'~+s'~
1-4
, ~ • ~
y~ • ~ ~
Jot d
y9L ~AL-A' ~ c w7v'f ~ • o
gAS'
~i ` t ♦1~ b.~. i 1' ~ d ~ eh ~ ~ ~ ~"t . ~ e I'M~ 'iJ ~ 1 ` ~.y~
~ y f 1 ~ ~ ~~.k~ ~ ` \ "
PAVEp . , ✓ ,
OIaT ~
25J~ • C.r~ ~ OLO 1'FTO ~M f~AY~~16R~`y~t+~'~1 ~ -tl D•~~'+t5r G~ ~b ~4j', 5 ~ f2 Yt i~~~i! y"~~~• C~~ ~Ic• L V
f, ~ , l a a ~ . v . ~k~ V' 1?I 1
1 ^ ~ ~ 7
o ~ , , . ~ . ~ 4 ~ a ~ d i • „ a ~ n ~t.
a . ♦ 7 1 4 ~~4 k1~+~ ~ b~~~ h d t~~ • R a . ~
'd
. r 14'~,~` ~ ~~',f t~4~* '7M,~~~~~ ~ r~f~~~ +t . D'~b~'A~~-rJ►w,6 ~ 'g~p E~y s ~7 ~
~ l~ ~ < ~ 4 r. 1 ~t Yr ♦ ~ ~ ~
n , 4t r~~ i.- I
<
1 dl i ! `i T( n ~ ,A~~ ~ L;
o ~ i • f ~,d~ ~f° : ti ^ .1 ~ - w,~ ~ t ~ p~ ~ r ♦
^ ~ N s t` ~ 6~ ~ ' ' 9 r ~ ' ~e8 'u~ ~ W` ° - ' ~ ~ i s • 4 c
4
"R~~?'7 ' f t^~1~'~ t~4a r~r ' gN►,~q 4 1 b ~M'
q r e L' 1.~?A, 1 1':4 T 1~ e ~ y~ ~ 1' ~ e= N ~ ~~1~ a~ ~Y'Y t ~ 1 4 ✓ {~U'~ ~ ll c. ~.y ~ ~k~ ~ f .iFj~ri.~ 1 ~
'f X _ ~ * ~ h~,~~ a L vY 1 ` ~ i r ♦
~ak
r e _ v N~ ~ ~ ~ F~i y'f~ t L 1 r ~Y 0r ! i Z h~'~ ~ ~ 4 ~ d~~f 1 V' Y 1~ r ~Y V• n
y 1 r+~Y i `rj 3+ ~ r ~ t r y ~ ~y~ " M1 c
i 4~ ~ ~«,l fi wA ~ xjh Ir lyY,~~ 5~, S M 1 y r~ ~
v y
~ 4 , ~ 4 `J „ ~ . 1~v~ 3 f~M* Y ~ Y ~~y~~~4~~ ~•ay~t ~ ~ ~ ~
• s i i 1 1 a ~ "S ~ ~ s F ~ 4
~
a e C Y' ~t t ~ a`~ t[ Y
0 f> C ~ F ~ ~ 1l ~ ~Y ♦ ~ ~ ~ iM~ i. W t f ~ ~ ✓
~ ' ~ r , , . ~ . ~i p . ~ ~ ~ s'~ ~ ~ 7 `i+ 7#°' ~ ° . r~ ~ a " o ' " r
46-
t . ~ r LL , " N' ^ i~ a i ~ ~ ~ ~~r • ;1C~ , ,i" ^ t,~, µ 4
o y~ '
~ ~ ~ ~ I ~ r,~ ~ S ~ ~ ~ s ~ ' ~ - . . ♦ 4 ~ ~P tl- ~ ~ ~ n t ~ & JM~~ ~
~
' ~ } ~ ~ ~A~► ~ Y 7 ~n~ ~ ~~~`1~,1
~ r ~ C ~ ♦ r ~ n f F ~~I'`~4 jir~'~~~~~~~ 71e~yc Y L ~ ~i~y+ ~'ti. - / I ♦~t i'r s ♦ < i ~
~
a 4 i i ~s N4 '~'t ~ y ~ ♦ ~ • 7 ~ ~ V' \
`w . , " ~ ~ ~ a. ~y,~,~ ~ ~ t 3 ~ ♦ , 9 v • ~ ~ w ` _ F~~ + . ~ ~d ~ ' y ° ~
.~1~Al.~ d~.. < • . ~ ' ~i° b ~ ~ ~ r t ~ b . ~ t ~P , ~ti~! 1 ,1 a ~"~A'1 w t . - +r ~ ~•r 'S~ y e
. ~ M~ ~laae~w~ ~ 'i ~ .iiM ~i. ~ ~ Ar M f 1 y ~ f • t + I' ~ ? . ~ ~ '
~ ' ` ` 4• , V 1'rM. y a ` o Y~V- e~~.~ I~...~iea~..,rr.
* t C N 'e
N ° ♦ ~ J ~rt * F c ~ ~ S ~ ~ A ~ a,j .*~<T~ L~ i~ ~t ~ ` ~ L
t
° ~ • * f o ~ f y ~u~~~ F~e t ~ } ~f7±'fc1''o ♦ /~k'~~U ~1 t a + i rir k h~t~irli'~1 v~ t r^ ~L ~ r-1 L♦ ' p•
~~r ~ ~,~tW;~L~~„ a~'.' ~ ~ Nn v ` ~I 7 4 • ~'F ~(~C"f~ 1 ~ N ~
t ~e i ~I * ~ P J ~ ~u~ ~C ~ t y n3~R Lt~t ~i 1 L ~~iR✓ii C..: f0 A t (t y J ~ H
e ~~~VE~f~~
• ~ ~ys'~, 1~~ ~ t a ~ \ t►~~ ,n rJ. ^ 1 J l4 .
~ r1 ~.'~3: r 1r-~'+ 0 ~ ,ti..a ~ fLi A t - •
' - ....Z.a e o ' ~e ' ~r.Vr.+~ Qa.""~'~•,Ap ~ .1 ~ ~'~T'~~~'~`~' - ~ ~ , , y~y'"~~}~~~-}~. " 1
t ~P . ♦ ♦ tt,~~ N r~i ~ ~'rl ,~-Y ~1 ~ A*~~i ~M', ~•y n.o~`' ? w+Q`~'~iH~^*'' xT ~{r. ° ~ ~'m~W~d.x~~fw. ~yv
Y
' '-P A e 1-~ ~ S w Fy,~ , y~ ` ~ ~ ` d! ~ _ : • v V'/~~ n'~i~~ ~ ,a+i ~ ~RJ i Rj.l~~ ~~if/~ % ~ ~'n yt M I~ ~ ° u
~y M
e c r' ~
a . , G C J a ' ~ 4 . ~ kiC ~ ~ ~ f a s1 ~ I~ 1 t ~ , ~ ~S ♦ ~R „ ' ~c ° e
o ~ ~ l a ~ rq~' ° b "y ~<y' 1 ~ ~y. ~ ~ . 6)~ t G ~
' o J~' 3~ ~ ~ ~ 1 lt M~~~ c ~ ~I~y~ ~ ~ ~ ~ S^ ~ f » „ 7~~ ~
~ ~ y „ Q i 30
a' < V
~
V
t ~
y -
146~ 75
S R = 24~ K p ~ ~
IGN .
e ~
. ~
i
r ~
PAVED PAVED ~PAYEB r
. ~ `
~