HomeMy WebLinkAboutPermit File 4217 Saint Mary's Drive -- _ �
APPLICATION FOR BUILDING PERMIT
CITY OF ANACORTES
Da-Le •
�
Owner's Name ai# a4/40 ('u$70n, ,'pO rn Ss$.
Owner's Address4J22 tetuCK.Fe Ph;,rr�G:J . '2sg+ / IO t
Applicant's Name 5s ,00..(. •
_Appltcant's Address / D. f
_ -
.''
Property Addressgot.__ .,.. .- u ,
Legal ,Description of Property tor 9 PLR,- __Q €__N-__LSA1�W D5
Description of proposed improvement Qd _�,�; • _- .
•
Improved property to be used as follows S -_ -__ - --
Value of proposed improvement $ 33 . 7is0 Q _ _�i
2-13
13g0 00
PLOT PLAN
Instructions: Draw a 'sketch of the property on the reverse sid.: Jf 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 lints.
• App ican,s .r agent's signature
Sign on after reading attached
building permit requirements.
- -- ---- -
LOT 9 H 1 t- Lfl NPS,
7. .
120
4-P)
4I
It
0141-73 rixt."0-e