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10 BENGAL LN - BPA-2008-145, REPLACE 5 WINDOWS, DOORS, What ia the curreM uss oi the Bui�din�? H�1Ung'� �ny un�?--_ Materisi d Buildin94 Asbestos9 WiM tt+�Buildln�Conform W Law? � 3 qrchitecCs Nam� � � /Wdf!!t ind PIWn� yz _ �l4 (,J�.�,.+5 Medw+ic's Nam� �`''�-�- �"v � S ��.A; CZ1- t�rl�-,u M�' o I �2 5'78-ZGS 7zSS ��„���,�sors uunss r c�x 9 sr 3 R HIC Reylstratbn* I`z���`� Estlmated Cost oi Projed S ��� PamM Fe�Cak,ulalfon Perm�Fe�f /5� � Estlmated Cost X s7/51000 Resfdantial - - —- - -- __ --- _ Estlmated Cort X S111S1000 Gommeroia4-- - - - -- An Additlonal 55.00 f�added as an Admtnistrstive cha�• Mak�suro that all flelds are proDerlY and leyiby�written to avoW dalays in procesainy. The undan�9^� does herebY aPDN ta a Buildiny PsrtnK aB"dt�-1 e e atated apeciflcatbns. Siyned under ps�altY of Pe�1��Y Date `�'�3- o� �I 0 N s �3 � � � 3 � � � a � e � � a G7�� y � � •� b � � > \ � � � � °' � c� 4 — -- —— - . "'�— 4— �_ 1 � � - GITY�OF`.�XLE;� _ .. --. � ���� ) PuBI.IC �Ptol''ER'rY ` ���� DEPAR'ItiIE1�iT G �i //�� � 1:1�WFJL6YD��er�v� � � ( '/ 4AVat ' V 13D W�sNtturtcx+»7�bT��ny'a�,y�g�p��sti�ls 01970 14a:9'67ii9S9S�F�97b��p.g6/� APPLICATION FOR THE REpAIR. RENOVAI7 N CONSTRUCTION DErIOLITION. OR CHANGE OF USE OR OC ��*i�`y FOR ANY EXISTING STRUCTLr�� OR BUII.DIN • 1.0 SITE INFORM/►T10N � " • - Locanon Nartw: I l`� de� ( 1h�e. g�,i� Addrea� --- - - _ _ _ _ _ .. `c�-��-�,1 - _ _ t� L��-e -- ' Prnpeb h bcated in a: Consavatlon Ars�YM Historic Dhtrld YM I 4.0 OWNERSHIP INFORMATION " II 4.1 Ownar oI Land . Nams: o��s ^ � Addreas: �o �S-�.�( (�..� �.(� �-ts}, o(9 �o Telephonr. 41 S= 7�-f S- gZoS" 3.0 COMPLETB THIB SECTION FOR WORK IN E)(18IlNQ BUILDING8 ONLY Addition ExiaGng Renovat(on Number of Stories Renovated Change in Use N� Demolitlon ExisUng Approximate yeac of Area per floor (s� Renovated construction or renovation � of existing building N� 9rief Description o/proposed Work: ��4 � S (N 2d�owS � S S�i ��y� ��4SS 0 ��o,�s �t.-�cQ ( 5� � E'�aafL. __.. . --. --- - -- -----Mail Pertnit to: P�� L�.�4��...,s �-/S i oha � � N�,�L.:�l ,UL,�- a�832 I