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FOR CiTY VALIDATION MARION COUNTY BUI_~_~_ ,~.,~..T!ON I FOR CITY USE ONLY <br /> <br /> FAX SS8-79~ ~A~/ <br /> 1 ~ROOGH 4 BUILDING ~sP cTIOg <br />1. JOB DESCRI~ION <br /> <br />RESIDENTIAL COMMERCIAL Use of StO~cE~te: <br />( ) Addition ( ) Relocation ( ) Addition ( Sew <br />()Alteration <br />( ) Accessory ( ) Ch~ge of Occupancy ( ) Other <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />...... " <br /> <br /> ~tWidth/~&O 7 I~g~pm IO~ Ams l~g.~t ~ Comer ~g Co~uni*Woll ( ) City (~ <br /> <br />. :;j {:, CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />4. FEE SCHEDULE <br /> <br />VALUATION (Se~ "Valuation Schedule" w determine valuation baaed <br /> <br />on squa~ t~otage of ptoj,~t.) Valuation: $ <br /> <br />(1) Additional Plan Review~ or Addeaduma <br /> <br />=$ <br /> <br />TOTAL =$ <br /> <br />Signature or' Applicant: ~ ~. ___Date: . <br /> <br /> <br />