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04/19/99 ll0N 13:40 FAX 1 $03 $88. ?g45 IIARION BLDG INSP <br /> <br />................................ 1 MARIOM COUNTY/IUII,DING <br />soR crrY UsE o~L¥ <br /> , COM1ViLTNITY DEVELOPML:2XlT CElqTER <br /> <br /> ~ New ~ ~.) A~'~tl'y ( 1, dcnd~t .. · , l( )New ,. ( )M~l~lily ( )C~geof~cup~yorUs~ <br /> <br /> [~066 <br /> <br />FOR CITY USE ONLY <br />City Setbacks: <br /> <br />3. CO~'I'RAC?OR INFOR.~L~TION -. PLEASE INDICATE WHO IS ~IN~ 1 ~E WO~ <br /> <br /> ( ) l'am lb~ ~ROP~TY OWN~R and ow~ msidc ~ or will r~id~ <br /> <br /> No. Sl<,d¢.,; ' ' ' Uni~:' ' ' }l¢ig, ht: · ' <br />· Numb~o£L~O4'ogms!. E~l~g; ,l~os~d: ., <br /> <br />~. VALUA'HON (Scc Yalualiou Schedu,le to dct~hle thc yaluatlon <br />based on sq'4m¢ fooO. ge of thc project) $ ........ <br /> <br />I hereby certi(v that the above information is co,;ecl. Permits arc <br />~uxpcncl~ for 1~0 ~ys. <br />Nume of Applic~t mte~ P]intl: .2 ·/a e ~- ~,.,~o~ <br /> <br />Si~u~re ot'applicaa: .... ~ ~ ~ ~ ....... Date:' <br /> <br /> Miscellancous ~.cc~ <br /> (i) Addl Plm Review [ AddendUn~ <br /> Minimum one-half hour · $ <br /> (2) l~i~l>~tiou Fe~ t'~ $50/per in~'l~ection $ <br /> (3) lave~gafion Fec $ '__ <br /> (4) ln~-pectiml~ outsid6 aormal hUsh,ess <br /> Hours ~ $50&r, miaimum two hour~ · <br /> (~) ln~ectioas tbr which a~ icc is ~cificall~ ' <br /> I~}dicat~d (~ $50/1.~, mh~im~m o~ hour <br /> (6) Addi~.ional Sets of ['tans (~ S10per set $ <br /> TOTAL $ <br />robie mid exptre ffwork ~s not star, cd w~tl~3150 days oi ~s~uan% or ffwor <br /> <br /> <br />