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HomeMy WebLinkAboutPermit Building 1988-1-1 -~, PLANNING & COMMUNITY DEVELOPMEr ACT.! VITY INFORMATION--SHEET j', 'Idne~county COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! 1 .. \/~~ ":'.,_ \ ,~, \V\'--. PERSON MAKING REQUEST \), \~('\0 \:::X.., f L-'2-<...: .. PROPERTY OWNER - P l <:> ,P-..,"") x.. 2-5 ~ 7_ -- MAILING ADDRESS =-''-\ \..:::::: Pe-..t,._\~'-'1 'v'G:-1. V0 ~ . MAILING-ADDRESS ( ~~ ~ \",=-V',G.- CITY CXL.. STATE <=1 ~ ~).L-. ZIP CODE: \=-,-'".."'\....,. ~-,n ~ _ CITY - C"N2-, STATE c=, { '\0 d. ZIP CO E ( (7 fl? ~,,-y 2...0~ \ BUSINESS TELEPHONE # HOME TELEPHONE # BUSINESS TELEPHONE # l 'i-"1-, 'tOO 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) \/ ("') ~ ? '.~ TOWNSHIP RANGE SECT)ON \;:X. 'L 0 0 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 ** ..,..,....,.....J ,.",......,o-....~...,.,,",.."" ..~".. ..,,~., _. ., ,,,".'"'' . 0.._,,, ,,,.~,,,,.,' .0.,.. "... _ ,'"h ZONE/LAND USE: BY: ' DATE:. NUMBER DATE -I ;;0 V) .. -I r-: TIME IN: OUT: 'A (~