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REVISED 3/14/19 I I REVISED 3/14/19 I Residential Permit Application NOTICE: THIS FORM MUST BE COMPLETED, SIGNED AND SUBMITTED BEFORE A PERMITMAY BE Residential Permit Application NOTICE: THIS FORM MUST BE COMPLETED, SIGNED AND SUBMITTED BEFORE A PERMITMAY BE Residential Permit Application NOTICE: THIS FORM MUST BE COMPLETED, SIGNED AND SUBMITTED BEFORE A PERMITMAY BEResidential Permit Application NOTICE: THIS FORM MUST BE COMPLETED, SIGNED AND SUBMITTED BEFORE A PERMITMAY BEResidential Permit Application NOTICE: THIS FORM MUST BE COMPLETED, SIGNED AND SUBMITTED BEFORE A PERMITMAY BE BE ISSUED. NO WORK MAY COMMENCE BEFORE THE ISSUANCE OF THE PERMIT *ATTACH SITE PLAN THAT INDICATES LOCATION OF THE STRUCTURE AND SETBACKS* *ORIGINAL SIGNATURE OF GC REQUIRED ON EACH APPLICATION* SUBDIVISION: LOT # PROJECT ADDRESS: CITY ZIP OWNERS NAME: ADDRESS: PHONE#: CONSTRUCTION TYPE: VB VALUATION/CONSTRUCTION COST SQ. FT: BATHROOMS____ BEDROOMS: NEW HOME ADDITION REMODEL EXTERIOR REMODEL INTERIOR DETACHED ACCESORY BUILDING # OF STORIES: SPLIT LEVEL: GARAGE: BASEMENT: YES or NO HISTORIC DISTRICT: YES or NO FLOODPLAIN: YES or NO DESCRIBE WORK Contractors Name: EMAIL: # ADDRESS: CITY ZIP STATE LICENSE BUSINESS LICENSE (CONTRACTOR) EFFECTIVE 7/1/07 SIGNATURE: NAME OF CIT ***THIS MUST BE SIGNED IN FRONT OF PERMIT CLERK*** USE SETBACKS NOTES APPROVAL: ZONNING ADMINASTRATOR DATE APPROVAL: BUILDING INSPECTIONS DATE Residentia