1st E 12018 Swanson Bldg Sign o;,. /"1� 4S
IT APPLICATION VVORKSHEET
�UILDING PERNA
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
(Please return this origlnal a�d you'r building, piens to the Department of Buliding and.Saiety}
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�EPARTMENT �►►PP���/I�1LS
This is-not a Permit
Appfication Type
{Standard unless (Indicated appro;vals requlred in either'"release"�or "release with condltlons'
othen�rlse indlcaled,) spaoa priar to pe�mit issuance:)
Fast Track Release
Early Sta�t Aelease w/cond 1 Hold 2
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Envlronmentel Healfh O Commerclal; f.� Residentlal
W. 1101 College� p New Constructlon;• D 81dg alteration/addition
Aoom Z00 L� Addltlonal structure;
APPLICATION�q
CondltionsiCflmments:
Plenning/Zoning: CJ Commercial; O Cert. of Exemptlon; O_ Frontage;
N. 721 JeNersan �5etbacks; tot w I d; Ci lot afze; C7 usa'I zone;
❑�CU, vartance, zone'change; shoreltne;� O fence;
O' 01her
Canditionsi Gomments:�
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E�glneere: Commerclal; Resldent{al; 0 Fload Plain;
N. 811 Jetterson C! drafnage D new aacesslapproach; 0 fence;
O road Improvements
CondtiionsiComments:
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N. 811 �JeNerson
Condltlans/Comments:
Other:
Ptan Exom
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Conditfone'/C�ommants:
Project Representetive Telephone
A9ertctes Rertorming Spec{al Inspection:
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i'lndEeets ebove o� atlech condltlona refetivs to�tinef ee built epproval
Ir�icate above or attech reasone ior hold
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