HomeMy WebLinkAboutPermit File 4017 R Avenue APPLICATION FOR BUILDING PERMIT
CITY OF ANACORTES 1
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Owner's Name ) d
Owner's Address /�'1.4.24-,c---14 . Phone. No. 3 3 4/ /3��
Applicant's Name
Applicant's Address Phone No. •
Property Address e}p : . a-nd L (J"C Of °` 3 m
Legal Description of Property "o r 7-4— 7'4te -4
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Descrip on of proposed improvement ltt .o- /..41-ccct_c -
Improved property to be used as follows /c�e,p I i
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alue of proposed improvement �- -' `, f
PLOT PLAN
Instructions: Draw a sketch of the property on the reverse side of
- .- , __ this page-showing the following information.
1. Street and alleys abutting property- ,
2. North point ' ,
3. Size and shape of property .
4. Site of existiri'g building or improvements i
5. Size of proposed buildings or improvements
6. Distance of all structures from all property lines:
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APPLICATION FOR BUILDING PERMIT
CITY OF ANACORTES
Date M'-/ 2 5) 7 'Z
Owner's Name fr-z- OWN °.e-
Owner's Address L/c 1 7 (K — a. u ( Phone No. a/3-J 7 •
Applicant's Name
Applicant's Address -50s1-4.1� Phone No.
Property Address NC / ) 02, - et v -e._
Legal Description of Property
Description of proposed improvement psi--; D coot r w
Imptoved property to be used as follows , , , ,
Value of proposed improvement $$ - . O a (-vg� � , ��± 1
s2, v`it 3OC7
PLOT PLAN
Instructions: Draw a sketch of the property on the reverse side of this page
or submit plot plan showing the following information:
1. Streets and alleys abutting property. •
2. North point.
3. Size and shape of property.
4. Size of existing building or improvements.
5. Size of proposed buildings or improvements.
6. Distance of all structures from all property lines.
Ap iccnt's or agent's signature
S n only after reading attached
building permit requirements.
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