HomeMy WebLinkAboutPermit Building 1988-1-1
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ACT.! VITY INFORMATION--SHEET
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'Idne~county
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
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PERSON MAKING REQUEST
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.. PROPERTY OWNER -
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-- MAILING ADDRESS
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. MAILING-ADDRESS
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CITY
CXL..
STATE
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ZIP CODE:
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CITY -
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STATE
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ZIP CO E
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BUSINESS TELEPHONE #
HOME TELEPHONE #
BUSINESS TELEPHONE #
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HOME TELEPHONE #
2. PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
3 MAP & PARCEL NUMBER
(REQUIRED INFORr~ATION)
(from tax maps in Department of Assessment and Taxation
or from tpx statement)
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TOWNSHIP RANGE SECT)ON
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TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # . ZONING
TOWNSHIP RANGE SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISIdN (if applicable)
TAX LOT(S) OR PARCEL # ZONING
. AC RES
LOT
BLOCK
I 5 REQUEST (state exactly what you plan to do) . (?("1V\''':.,~o'_'( T" c:...,\-\nP ? r J'~?()J?-:r
6 DIRECTIONS TO SITE:
** FOR STAFF USE ONLY **
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ZONE/LAND USE:
BY: ' DATE:.
NUMBER
DATE
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TIME IN:
OUT:
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