7 DANIELS ST - BUILDING PERMIT APP (004) CITY-OF
y PUBLIC PROPERTY
DEPARTMENT �e /
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A_*PLCATION FO1R MB RUAM > Z=Ln inN"xcM>rrr IM
DI&KOIL-SON.OR CAANGE OF CSZ OR OCCUpAmCY FOR A_ EXLIMG
t.a wn INFORMATION
Localloe Nemec
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Properly 1s kxatsd in a:Cw*wvatlon Area YM M_A soft O Dbu t YM
2.0 OWNERSHIP INFORMATION
-2.1 Owner of Land
Namw e o � ._
Address: ao3 tvasln�nc�oll ear• .54
S a\ern I..t'R alglo
TMephorm
3ACOMPLETE THIS SECTION FOR WORK IN E7IItIlNp E UILOINOS ONLY
Addition Existirq 3
Renovation Number of Storkre Renovated
Changeln Use New
Oemoudon LExwg ✓
Approximate year of Area per floor(@I) Renovated
constructlon or renovapon Bu,ldLAI ►s* `Z ,
of existing building i Zb y`u'S 2 l New
add Description of Proposed Work:
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c�\ergs 51c.>�-1e.
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--- -- ---Mail Permit tt): I ,5- -be.d 9 e, S i e-uen I y/ M A 0 1 q 15 '
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/ rchftc a Name
Addrw and PhonO I 1
Madmies Name
Ca*udon 3ujW"js, liWma f o s o>a 7 5(o HIC Replatftar f
EsWnatsd Cad of Projad S 15. 000 Pant Fee Catarl M
Pow&FN S 30 0o Estlmetad Coat X$741000 RssldanlW
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An AddNkWW S6.00 in added r on
/Idrnlntstrative PAferQa.
Make sun that an Mlds are ProPub and gbh wftn to avoid delays to procnA-4
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