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10 CRESCENT DR - BUILDING PERMIT APP
r What is tie Current use of the Building? / sir r Material of Building? if dwelling,how marw units? will the Building Conform to Law? 1/s21 Asbestos? �a Architect's Name X) C/J Loi` Address and Phone Mechanic's Name Address and Ptah motif 3T ©rsabW41eJ constructim Supervisors License 0 HIC Registration 0 Estimated Cost of Pro�je�ct i , Permit Fee Calculation Permit Fee S Esti nated Cost X=7/$1000 Residential Estimated Cost X$41/$1000 C4nmercla4------ ---_ _._ An Additional $5.00 is added as an Administrative charge. Make sure that all flsids are property and legibly written to avoid delays In processing. The undersigned does hereby apply for a Building Permit to buildtothe above stated speciNrations. Signed under penalty of perjury X Date �N a �o 24 1 EIT7tOF PUBLIC PROPERTY DEPARTMENT w A%0&WU r o■w MLl F NAraa 130 WAy MG"TrUltr• sAuu4 wnsuaa:sers 01970 7VL,97e-7i&M•FAxo M7404" APPLICATION FOR THE REPAIR. RENOVATI N CONSTRUCTION DEMOLITIOM OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING STRUCTURE OR BUILDING 1.0 SITE INFORMATION Location Nance Suilding: ---- P►oPenY Address:--- - --- -- - -----._._ ... _ _ -- - _-- - . /d P 'P-v/ , Property Is located in a;Conservation Aro@ YM Historic District YM 2.0 OWNERSHIP INFORMATION 2J Owner of Land C . Name: Address: - Tekphone: 3.0 COMPLETE THIS SECTION FOR WORK IN EXULTAn BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use New Demolition Existing Approximate year of Area per floor (sf) Renovated construction or renovation of existing building New Srief Description of Proposed Work: Mail Permit to: ve/