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20070284 Signed Permit 080807AUG-08-2007 WED 02~01 PM LIBERTY FRX N0, 3604001403 P, 02/02 AUQ-07-2007 22:46 Yo1m CDD 360 469 31a4 P.02 City of Yotm Communiry D~v~lopm~nt D~p~rtm~nt Bulldfn~ Dlvldon phon~: (!60) ~e0-8~10T I~at: (~60) 46l-~144 Applfan~ NorrN_ Ub~rtp T~x SMVIoe Aadreee: P.O. Aox 2l00 Prop~eQr Infonn~tlon; 91h Atldnw: 716 YNm Aw, Wt Aiwosor P~ral No, COnt~~Ctar InfOrrn~tloR: Nom~: Addnu: Co~ctor L~anss No: Cro)~ot Intortnatlon: Pro1~C't: Llb~rly T~[ B~Mo~ DMCxlptbn orwo~c; T~1 e~heol Mnounc~nMt 8q. Fl. pel fbor: (1it) 0 (2nd) 0 MNl Typ~ (Ewarlo, a~~, Oth~~: f~M: Cky: YNm 8ubdlvi~icn. Contact Cky, Explh~, P~rmit No: SE-a7-o28a-YL Iseu~ Dats: Nce is.u.d (wo~ rnuot e• a~uaa wnn~n ~ eo arr~ R~c~lpt No, Phons: 400-1101 au~.: wa zip oeeo~ Phons; Suh; ilp: ewln~i uana: (~fd) 0 O~nq~ 0 ~Mm+Mt 0 ~~.n, ~t~m Fae 9..s ame TOTAL FiEa: 10~00 I.or UnA Fe~ Unit R~I~ N0. UnKS UnM DNC ApplicanCs Af'hdavlt: I ceNfy IAN I h~ve rord ~nd er~mined the infamelion oont~ined wichin In~ ~ppYa~lion ~na knaw ch~ ~am~ to D~ hv~ ~A0 oor~a! I d~o O~rtlfy 1 th~ propo~~d ~WOIuA ~~ In oon~olmllY w-lh ~II ~pD~~bN CIIY a Y~Im -pulatiOM InCludlnp t p m p=onlnp ~nd I~nd ~uDdMabn, ~nd in WORIon, dl wv~n~~q~ sNemant~ ~VlCllon ot , I^ppylnp N~ oomnatcr, I MI1~r artih tlut I ~m ourr~ntly ~p~~a~rd th~ 6-t~c• ol ~. ton. ' 91pn~turs ...~ t-t. ' D~t~ i / ~ .- ~^~ ~ .... .,,...,,..__.__. ....~c.~.. .. ... . ...._.-. _.----- - F;-m ~(,,1a~-,~ ~~~ S ~~~' ~ ~l--.. ..__~. • W!~ d Prinl~: Flrnl lnapoation; D~te~ -~y~ -----------~-- TOTAL P.O~