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..•..•.;..'•...•..•:..»::-,..,..'-;..:(•....\...:-~..~:~.<.'~~.'..:~·;.1~~~~·;,~~:~~..., <br />f <br />ONLY THE OWNER OF THE PROPERTY OR A LICENSED CONTRACTOR MAY TAKE OUT BUILDING PERMITS. <br />Owner-Builder must submit the following with the application:Contractor must submit.the following with the application: <br />•A property tax statement or a recorded deed.•Current license numbers. <br />•A completed and signed "Owner-Builder Verification"form.•A completed "Authorized to Sign"form if other than the <br />•A completed "Authorization for Application"form if other than contractor applies (this is not necessary if this information is <br />the owner applies.already on file with the Department). <br />-,.•:'..~••.•..'_.~':-~~l""'I"""'.,~.••..•..•...»:••~"!'~..-~.'.,'......"."~",~"--:-:....-",:":''Y''V,;"!...,.'..~..-':"">-:i ::~.4.•• <br />.;.',..',.,-~."'".:··;iAL~.;"~f;,!~.:q:1i1$Je~6Efrt~~BE!@1J,1~~i~J:Ht.1l3X~~J,.9.P.NI~.Nt~~"RVi~SlS'f~FF:.'..'-.".".,~-r;,.-. <br />Expansive Soil Area:No:0 <br />v U <br />Subdivision Name:~\\~YmQ \rYl\)DIg C MaP#-BVLot#- <br />Zoning and Setbacks Zone:~l -~,I Front:6l')Left:10 I RiQht \l)Rear::-i ')Height~~ <br />SchoolDistrict[ml un\PUrL Fire District LIYlOYI01 <br />Sewer District;~Ot11c Water District U Q Ij-" <br />Approved use:\..~Dl nJiU')\.l.J. <br />'SPECIAL AREAS <br />Subsidence Area:Yes:0 <br />Airport Zone:Yes:0 NoCW'Fire Hazard Area:YCs:1a'No:0 <br />Planning No:SJAFCA:Yes:0 <br />COMMENTS <br />/"I! <br />" <br />r---------------------------------------~7-·-----------1 <br />{ <br />I <br />Plan Check Onlv ()YES I <br />)File# <br />Technician:r 0 jl /r <br />----~----~------------Date:I(')J Ll/n+. <br />Page 2 of 2 <br />/r