Mission E 9118 7-11 Food Store - Sign
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(THIS IS NOT A PERMIT)
BUlLDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT ANO COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
COMPLETE IN INK
~ (Please return this origlnal and your building plans to the Department of 8uilding and Satety)
~ SNADED AREAS ARE FOR DEPARTMENTAL USE -
Project NurRber
Owner a Name L FI RST M I
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P►ojeet (Street Neme 8 Nurttber
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APOlicant ' Address
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Ucense Numoer (Require0) Buainess Phone
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s DEPARTMENTAL REVIEVV
~ Cond.
Approved AppmVBl Hold
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_ Emironmental Healtb Appflcatton q
~ ❑ W.1101 College
~ Ftoom 200 ~ Y •
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Plennlne/Zoning
` ❑ N 721 Jetferson ' • r ~
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EngUeeira
❑ N. 811 Jefferson ' ~ -
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Ut111Nes
❑ N.811 Jefferson r '
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~ Plan Revfewi Flro PreveMlon ~
❑ N. 811 Jeffarsan r r
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; Other ISEPA/CHtkal MsteMal/ete.►
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~ Fast Tndc/Speclal Inapeaflon Intormetloa
~ ProJsct Aepresentat{ve Phone
Address
1 certtfy that 1 have examined thia applicatlon and etate that tAe intatmation contalned In it and submttted
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by me or my apent to compite sald application is true and correct
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