Channel Pointe-CN 920214HOLD MARi~ .~$ AGR~W-WlF. A'T
Subclivisior. Q.~.~ C~00~ (.d~ce~), Coppe~ T-~,~ (the owners)
~ ac~lec~,e ~h.t t~ DR'IVEUAY w]~ is locmte~ on their
en~roa¢.~ ~nz~) the ~ of C~]~'s DRAINAGE EASEMENT ; ~
the ow-,~ ~er~r~,~ -,~ acknowle~,e that h ~e ~ or
~q~d w ~ ~de w ~e ~, ~ ~'s DKAINAGE SYSTEM
~ ~ of ~e DRIVEWAY ~ o~ w ~e~ ~
%q}-I~, ~he o~'na~ ~{~-~ ~ a~le~e ?h-~ mm:h DRIVEWAY
ins~Be~ fie~rke knowlex~e of r.~e Cites DRAINAGE EASEMENT :
DR I VEWAY mt ¢h,~r own c~
o~ ~ to ~ove ~eDRIVEWAY
~ DRIVEWAY ~ o~
~ ~]~ of ~ ~o ~ DRIVEWAY
DRIVEWAY ~e ~p~,
DRAINAGE EASEMENT .
~e ~o~le c~ ~ ~ ~ ~e
DA/Z
04
DEPT
BUILDING PERMIT APPLICATION
Owner:
Contractor:
Description of Work to be Done Class of Work:
Print or Type in a Clear, Legible Manner
Phase or Section Number:
Phone #
Phone #
[] Addition [] Alteration [] Repair [] Demolition
Area of Building in Square Feet
First Floor ~3,)
Second Floor~ [~;~ ~
Garage
Other
NOTICE I
This permit becomes null and void If work or construction authorized Is not
commenced wllhln 180 days, or construction on work is suspended or abandonedIZoning District:
for a period of tS0 days at any time after work is commenced.
I hereby cattily that I have read and examined this application and know the same Approved By:
~o be true and correct. All provisions of laws and ordinances governing this type of
¢~ork will be~complled with whether specified herein of not. The granting of a permit
does not presume to give authority to violate or cancel the provisions of am/other
ledersl, state or local law regulatl g construction or the perlormance of
Electtlcal Contractor Plumbing Co~tractor Mechanical Cont I
I
Value of Work/.,,%__.(
to be Pedormed
For Office Use Only
Occupancy Classification: