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HomeMy WebLinkAboutBLD2006-02051 Request to Revise - BLD Application - 4/23/2008 Request To JZevise An'Approved Plan o 1 Permt Number: B D200� \a me �, 22DW P_%1_,euZ Parcel Number ► a js Phone Number da 'me (3�) 7�:�- (E3. Proj ect Address 190 t© N 0!3w 10( Mailing Address t-ic,`-i 3 2 aA 12.A cv Ku)- Please provide a complete,mplete,detailed description of the proposed revisions to the approved plans: Di2t�tt�¢t, Lt;A � scOpt-WR EQ-0 ks.W L� k17"- WSS CUC 2ASOD Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ❑ No Are the approved site plans included? ❑ Yes ❑ No Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes ❑ No Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No If Yes,Has the engineer or architect approved this revision? ❑ Yes b No Is a stamped and signed approval included with this request? ❑ Yes ❑ No (Note:No structural chaam to a"designed"plan will be approved without the written consent of the engineer and/or architect of record Does the proposed revision modify the footprint or location of the structure? ❑ Yes ❑ No If Yes,Is a revised site plan,with all new setback dimensions included with this request? ❑ Yes ❑ No Additional Information: Applicant's signature !�- Date: Office Use Only Received by: ' Date Sent Assigned, I oddea g Approved By Date ❑ B. Original Valua n: $ a3- Additional Valua on: - P. U Sq.Ft. x$ $ Sq.Ft. x$ $ E.H. Total New Valuation $ P.W. Additional Fees: Additional Planning Dept.� / Additional Plan Review oUa� 7 _ Additional Conditions[Comments: Additional Building Pe Additional Plumbing $ R a Additional Mechanical $ t ` Additional E.H.Dept. $ Other $ LUUU Cb (CSC ICU u N T Y Total Amount Due: $ Amount To Be Paid Up-Front$