HomeMy WebLinkAboutBLD2021-01204 - BLD Application - 10/5/2022 camLNF
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RECEIVED
Permit Numb t BLD/ OM: L 1jZD Applicant Name b��1 Q Email: OCT 05 2022
Phone#:' .5_?x i-5 l W Project Title: t I/n Parcel Nunnjr5 s e )D2-8
Please provide a complete, detailed description o he propo d revisions to the approved plans. Please
return this fønR to the 1 Masorti County Permit Center.
1 Yzuiiit. SThe following documents are required to be submitted with this form. „n V
> One set of revised plans or addendum indicating the changes. V ' es_ No_
> One set of the approved construction plans. Yes_ No_
(The"Red Stamped"approved site plan must be included)
> Revisions are to be clouded with delta's clearly and accurately identified
on the revised plan/s or addendum. Yes_ No_
➢ Does the plan contain a structural, architectural or soils engineer analysis? Yes_ No_
(If yes,has the Registered Professional/s approved this revision) Yes_ No_
(Is a stamped and signed approval included with this request) Yes_ No
(If no engineering or other changes requiring a registered professional have been
made,the plan may be approved without written consent of the engineer or
architect of record)
> Does the proposed revision modify the footprint or location of the structure/s? Yes_ No_
(If YES,is a revised site plan,with all new setback dimensions included with this request?)
Yes_ No
Additional Information:
Applicants Signature: Date:
STAFF REVIEW SECTION
Reviewed by:
Department Date Assigned Date Reviewers
for Review Received Reviewer Approved Approval Original V luation: $
Additional Valuation: $
Building
Sq.Ft. X $
Planning
Additional Fees: $___________
Additional Plan Review: i h✓` $
Public Additional Building Permit: $
Health Additional Plumbing: $
Additional Mechanical: $
Fire Other. $
Marshal
Total Due:
Public
Works
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