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DigiSign Verified: 73501FF8-8C73-4AE7-AB36-55D5C057B1B9 ici-cbt ."d \ t ,1 <br /> REcEriv-ED „ <br /> itilAR 21- 2019 <br /> . . ..„.„.„ <br /> :.. <br /> A pplic.atio.n,.for Onsitc.s. .i. <br /> .eGigty't zii%t 0.i0 1' <br /> k <br /> M,. <br /> ARION COit\iTY <br /> \ 0„tt :.1 I1e111nt Syti1 BUILDING1NSPECTION <br /> MARICNCOum.IY l'IDIAC WORKS <br /> BUILDING TOM'stnion D[VIM ON <br /> 5355 Sitsitriou Rd RR .. <br /> Salvia OT f/7305 <br /> (Si3)S811-514/ rol,,ipi).:ses.11g - <br /> AetivIty It . _ <br /> Rid. A ,..., n ii 41%.,:.;:ottN1,40,...i.,nimL.itu../1•41.11.t9051.1:nr_Ittnetligli . -- • . <br /> 10,0,1 V...•r.,0.4,,,,tedori 0:I.-,, ,-- .,t-• <br /> "' way Owos Erfo alio ;. <br /> g 4400'3 X414 gtibUI:0;II / i /1). i <br /> '056 1. Cr eil'11. i <br /> -' ' •--1-''- '-i'• :, il-aPt. t.4.-' ';-,,,„ '.W 4.''.: ' -'4-CRVeiti.:-P St.:"I 2- . • <br /> i: ;t717iieig7"---"' -- K.i44i4,.. .iiii.kii---- CO.tly;sPoi,.i404,tii f; ;;: ..-;a:-;C1)<:::t-t:' .• <br /> ,,s: , ,, :,it:tYriokt*Irrp,:s4j4.4 P.P,,.- ,o!,i,-„...,-...30 <br /> ..>i.-. * ,,,-...:12t .i'' •.g. ...ifili..eViii(14-167 ....„...,]"0: -.7,g,..422_,WS0 r.,:a6m4...„„,:._ _.,„ _ <br /> '../.•<!.gio:r..07midio.41-1 ' :: - Zt Wii:444. Actsgt iir t.p.„0-4.-i, <br /> •504-1-0tAtt:.tillit. Lot , 1.116ck <br /> ,A.:4,.., , , . <br /> .,,,'2:1.:•::4'5;f:.ii7 i 464,,Vt. flit•-1. it* CS. / •,-kL.)-t-,--,.0 <br /> i Crj%; <br /> gi.:,,,pi.ttly•.4sitoot, •,,• .• goy: ,„ Is tate Alp,EatiT : <br /> nir,ciri,in..in ProPnfir fai41,40tr :-.7-;'Irizailkik:tn,,,i-iti:411. 4._:..;a,:f .,'17,...Mti,jkliniztOttifi-.# DZI••,-..ild Ai <br /> • <br /> :: <br /> C.Thstatir3g Facility/Propose.d Facility riViatts'010;m:ion <br /> •, <br /> , <br /> ..thing,....r ,,, -/eAftr Sappij; CY i• 0 <br /> ao:1,,y Rften...4,, tie '' .. -: ' 4 '''• ' <br /> . .• : • -......,,,,..5.)•,2.-,O...,...,......, C <br /> ' 3 :Itl.,,')14117.1.1640444t4tt Or 6 4 t 6,41, wt.!, [3.,„1.4bIte, . <br /> , <br /> --i4;;;ST:iiiiie-dia-rs-nS t .tnyaSp Ol4.0l ;_,E SAL':e' 'SF '. <br /> CD Claw,, _ . p Ott= __,, Wsti. r1":141 <br /> , . . <br /> D.Typo of Application <br /> Et/Si+e,6t/4ltiAN oat, 0 Rat:swat?omit -0Aostinstisdlon Norks roc <br /> Ej Construction Forrnit 0 Permit Reinstate:scot 17 wi4ipro Dwallietg <br /> 0 Rapair Parmit 0 Parmit Tomsk; .Ilia r4:0:44.4*0101).t.tr Marc litdlooms ': <br /> 0 Major 1:.] Minor [1 lixistiog Sysirso liYalustiou 0,AcradrialTfintsillp <br /> , <br /> t„,) Altszatioo Pii 0 record Avsiaw 0 Temparosy/tunsing <br /> 0 Major 0 Miner 0 othcr ___ 0 con.liccring.,0 en if:Kitting tiysiero'Never in Use: <br /> 0 Othei-?least Specify ' <br /> Ilan ri'l,Ptfr'iN?•i:Pe44.00-44*,nt..1"."1V MI 110010,4*qh 0:6'oppit ation.it.*111 betirliened to you 0.2,1:10iftiat.- <br /> ...Posp.,-:!::.Jli."..Naciro.:4!1tAnn.4•41.4-xt.q.:Iti.ii*tri kzgy?IF __ . ..........,.., -_____ _.'.' ___.., ._ . ,.„._.., •. <br /> Hy ray Man:,tu i t.,I tali iy that:it;information I have furtisistscd is oorract,sod her7by anMarion Etify,4..itiiora<ci artut of-Lilt <br /> Dr tall's:silt of en'Afootaeotal Quality,primisiion to enter onto liio above described property for the sots,tit:pose.allis application. <br /> ' ' 41. ' 1 : Z'T s--) cYrc--y :2 <br /> P.' ev +- 14, : , , )r•- - , , , u .q <br /> .A- 1.,),...-pit.,Pt 1.)1. Ititily: A ppli PEZieS PhOO:SMObtr ' DEQ Lie ti: (if tripUcalitt) <br /> . <br /> ' :: 0 , ...2i,9 ii--.;„;... /. U ._, i e , . ,,,, -eo. - <br /> rs '--.L 0 7 '-:)-, r 0 <br /> i , A,ii,„(A.004., :...) <br /> ' •Aii•fr ... l...41..*,_ <br /> Dale:: OCR g Of epplimbk) <br /> 'La 0 0 iv.iet 0 Aorbolizr.d ikr;.,E c.'catzti.vc 0 Ani1.c.:12:;:i,-.1',:::/-op7'.y for:,_Au leitli <br />