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I to SM <br /> I -:.x_111+ l.' t''i. L I VIC11-+'lli j + SijOpq.a'T! n '„ ;sa " ! linin 0 1 i .Sp.,:InP Per.no, T Ltl t't,t:;,IV'. "I'll( <br /> building inspections will not be performed by the municipality. <br /> PF RN11T R1 QUESTED: <br /> • Fill in building address. <br /> • 1-ill in legal description ,of `„t. WON Won inme. lot nomawr mk! block number. <br /> PROJECT uATA. <br /> -, <br /> • <br /> Fill l i � y rl1 n <br /> f „ 1I_ h.*_II f,ii7`:R`(1 U,-,L -,I ,� ,L.. :+I ti;i. � .. . .� � 1. <br /> a + l � lei _ 71190. .. L CI1�(L block, [ U`:� <br /> h,C Hlled in, lochiding :h;-: <br /> -----------------------------------------------------__-__.....__-._.-___.__________-_____________________.__-____ <br /> 1. Type -Check only, "I-Family'+ or"2-Family"if that is what is being built. In other words, do <br /> M l , :141 .n . A ifPi {j+.k�rttc•a n r. - 'c nr INS+0 <br /> t8w 1 ! WN _ <br /> lark <br /> n � <br /> ej;-,+.,+, i_,..-�.n .yin. , i ,+..., .++... r. la c� nat AM ,},,�,2':I rtna+il �:fQirC,'C s <br /> ��.....;al SGL..... ,,. ...,�.. - <br /> 4. Complete type of construction. Use this toi in for site built homes or homes built to the XVI <br /> t�.,n ,� 1.�m . ., ,•. r , , <br /> '-cas In basements. hog two- <br /> t LC <br /> oft co A 50 or landscaping. <br /> SIGNATURE: <br /> • Sign and date application form- <br /> 1.; l <br /> t,,,n,, <br />