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PFR1Y.UT APPTICA—nON otiA 0 5 �D1 <br />{� City of a Porte Establishe 1892 <br />Rv <br />28 <br />*Pl=bin <br />NPr3aai�sca] ___.. — '� i cal. <br />$uildin *(St-- baek of form) <br />Prajoct Addmss: <br />Subdivision: <br />Phone:_ <br />Desna? s Name: <br />Ad[iress: D City Zip <br />-Strut <br />Condor. <br />147, <br />Street <br />Contador Email <br />Building Use: r'e ri <br />aluafiion d A!� <br />City <br />zip <br />cb /)!Rvim. v� <br />Conact POTSon: 1' 1-97 <br />Sq. Footage: # Stories <br />Descd-be Wank <br />APPLIMk iTS PR D NA.M& � � For City Use Only <br />Flood Zorle___ __�Ons Work Sq. Ft" <br />Owupanoy Typo' <br />Coon Type Use Zone # Starles p �g <br />Date use c(-,ased: <br />Last use ofBuildir� <br />Commercial Buildings flans D Fire Marshall p D <br />Date <br />Checked&-pproved for Tssimm By. <br />CE: Special Conditions <br />Taos <br />Roszd-bntzal ddvevW tif,-in. fv--: <br />PaMadd�Ncw Res. QWY): Zone <br />Permit Igo, <br />Pit Fee Plan. Chock Pee: <br />