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go. CITY VALiDATiON: <br />IReceived By: __ <br />IZoning Validation: <br />/Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> BUILDING PERMIT APPLICATION <br /> <br />COMPLETE ALI. SECTIONS, I THROUGH 4 <br />1, JOB DESCRIPTION <br /> <br />COMMERCIAL <br /> <br /> ( ) Addition <br /> ( ) Alteration ( ) Sign <br /> ( )ChangeofOcrupancy ( )Other <br /> <br />P. ESIDENTIAL <br /> ) Addition <br /> <br /> ) Alteration <br /> <br /> ) Accessory <br /> <br />( ) Relocation <br /> <br />( ) Other <br /> <br />[~FO~R_ C.!T__Y _U'SFJ ONLY <br /> <br />Use of Structure: <br /> <br />2. LOCATION OF INSTALLATION .... :5--w ~q,, ':?'7~, ~Y, ~q/'4 Bo~ <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />I hereby certify that the abovo informatloa is eoet~ct. <br />Permits are non-transferrable and expire if work is not started within kg0 days of issuance or if work is suspendexl for 180 days, <br /> <br />Name of Applicant (Please Prlnt): ~/~_~.~/ ~],'~=',~5..1"-O ~- -- ~ ~ ,~ __Phone: ~7~-- ~ <br />MC 15-73 Rev 1/95~~fi . ~ ' ''~ ~/ <br /> <br /> <br />