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DIVISION OF BUMDING AND oDREee SAFETY DDESS
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WM J FOX COUNTY ENGINEER �� NEAREST
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SETBACK I WIDTH
USE OP FRONT
EXISTING L P L L: cam✓
OWNER An BIDE1. 3
MAIL O TRACT DWELL 1 UNIT
ADDRESS �"' S INDUSTRIAL
1 1 WELL 1 UNIT
6 PUBLIC BLDG
ARCHITECT OR TE. 2 DUPLEX 1 UNIT 7 ADON ALT ETC
ENGINEER NO 9 APT _UNITS
8 MItCEL
ADDREAS 4 COMMERCIAL /
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SIGNATURE O►
APPLICANT ( PROVALS
ADDRESS DATE _ IXWE ORSSIORATURE
S FOUNDATION LOCATION.—
FORMS MATERIALS djAA
RE FRAME FIRE STOPS.
VALUATION t Y1 BRACING BOLTS
FURNACE LOCATION
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAB VENT DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WIT LL COUNTY ORDINANCES LATH INT. .1J
AND STATE EGULA ILDING CONSTRUG
TION LATH ER. 4
BIGNATURE OP HOUSE NUMBER COR-
l1i 6
PERMITTER RECT AND POSTED
ADDREBB FINAL kl IA
WM.J.FOX.COUNTY ENGINEER ALIDATION C N.DIRLAM.CHIEF BLDG. INSPECTOR
1992 MAY 14 16 10004 %05995- MAY 14 1 2000 In