Shadydale 1stP-CS000103 BUILDING PERMIT APPLICATION 0
Print or Type in a Clear, Legible Manner D
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~pt~a ~ Work to ~ ~e C~ ~ Work: ~ New ~dit~n ~ AltemUon ~ ReNir ~ ~mdition
AFe~ of Building in Square Feet
~ond R~r
O~AY A~A ~R O~CE USE ONLY
NOTICE ~rm~ ~: R~ipt Nu~r:
~is ~it ~o~s null ~ voia if wo~ ~ cmsl~len au~ is ~1 c~fl~ Zoning D~fi~: O~n~ Classif~fion:
within I~ ~ys, or com~mcli~ on w~k is sus~d ~ a~d lot a ~n~ of 180 days
a ~y ti~ after work is
~p~ed By: Date: '
i ~by certify Ihal I ~ve ~ ~d ~i~ lhls a~lcali~ ~ know ~
~ c~t. All ~ovtsl~s of laws ~ o~ia~s 8ovemin~ ~s I~ of w~ will ~ C~men~:
comphcd with w~r s~i~ ~min m nm. ~ grating of a ~it ~s
give au~fily to vidMe or c~c] I~ ~visi~ of ~y a~r fe~, sine m I~ law
~[ulaling conslmction ef the ~ff~ce of
EI~al C~tra~or Pithing C~tr~tor M~ic~ C~t~m
FPMC - I (~41
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B~G ~E~ON - ~ ~~AL - ~L~W, ~STO~R - P~K