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2 BENTLEY ST - BPA-08-188 - GUTTERS & SOFFITS REPLACED -` EImOF PUBLIC PROPERTY DEPARTMENT I iawFslnr o■• •+ wraa IM W&OUNGrtw MMU 0&% USt WUM3*.SeM01970 TW-M'145.9S"0 F=Ws.740.9M Is APPLICATION FOR THE REPAIR. RENOVATI N CONSTRUCTION D&MOLITION, OR CHANGE OF USL OR OCCUPAN CIV FOR ANY EXISTING STRUCTURE OR BUILDpf 1.0 SITE INFORMATION Location Name: Buikting: -- -- Property Address -- -- - - -- - —- 1 2- Property Is IocafW In a:Conservation Area YIN Hl doft Mirk*YM 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land L 3.0 COMPLETE THIS SECTION FOR WORK IN EX]torlea UILDINGS ONLY Addition Existing Renovation Number of Renovated Change in Use New Demolition Existing Approximate year of Area per flooRenovated construction or renovation of existing building New r f Description of Proposed Work: `y�,r'�p✓ v Q ----- ---Mail Permit to: h1k -- What is the Current use of the Building? Material of Building? If dwelling,how many units? - WiU the Builang Conform to Law? Asbestos? Architect's Name Address and Phone t ) Mectuv+b's Name Address and Phone constrwtion Supervises License ar `1`JJ HIC Registration S Estimated Cost g)��P,o'leed i Z 00 0 permit Fee CaleulsUon Permit Fee f�'�d- � Estimated Cost X$71S1000 Residential EstimatedCostXsil/il000Commwcw---- - - - An Additional$5.00 is added as an Administrative charge. Make sure that all fields are Properly and legibly written to avoid delays In processing. The undersigned does hereby apply for a Building Permit to bui the abov specifications. Signed under penally of perjury Date n �U D oI N 3 $ a '3 a QF