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r,,,:, 7),~ ~ ..... R H W THROW. BLDG ADMINISTRATOR <br /> <br />T¥1~e o~ Buildi,lg -- ~. ~ .... 588-5147 <br />~1o~ cji Buildirlg 3_-'-__.-~ APPLICATION FOR BUILDING PERMIT <br /> <br /> 6~000o00 <br />Valuation $ <br /> 32.00 <br />Permit Fee $ <br /> <br /> °96 <br />Surcharge. <br /> <br />Ad,il e~ ........ <br /> <br />Septic Tank <br /> <br /> 32.96 <br />Total Fee $ <br /> <br /> Relocote ~ <br />Re i, Demolish o Str~ure This [~er,'mf covers <br /> <br />Lot B I~>,: k <br /> 13 acres <br /> <br />Adciiho~ <br /> <br /> 40 X 80 <br />Size of BId9 ........... <br /> <br />_. Hcig}lf ir, tee~ .......... <br /> <br />machinery shed and ba~n <br /> <br />Wato~ Suppl~ ....... <br /> <br />r)wl,f:l .......... Addl/~s <br /> <br />Builder & NO- <br /> <br />678-5498 <br /> <br />Conditional Use Partilior~ing Variance Case No <br /> <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT <br /> <br />J A~-P-LICA'fI(~N'~ECEIOI~D ...... $~'TIC YANK ] - -~J~,,I:~WXAMI~--q ~P[--RMIT rssuE~ <br /> ..... % K <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPARTMENT rt~-c~t,,~q PJL:,t,bH,~j , * O~ / <br /> <br /> <br />