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BUILDING PERMIT <br /> 221 S INTEROCEAN AVE, HOLYOKE, CO 80734 <br /> PHILLIPS COUNTY COLORADO <br /> NUMBER Zoi9- 003 PERMIT FEE $30.00 <br /> DATE 1 ` �9 USE TAX <br /> TOTAL DUE 30, moat <br /> r <br /> Owner -_--- -- <br /> 5 Cn 1�2e_/ <br /> Mailing Address �`{l 'S• U� <br /> City/State/Zip 9A16 20 Phone f47 -774 - 7V43 <br /> Contractor N IA <br /> Phone <br /> Legal Description of Land "°erg` 3l. rIA1, R-517A-) <br /> Intended Use i n g G'Yaye/ �i1� 64PAdge'iete 6W:5 1f'4e4 &G #Z <br /> Present Zoning IQ Z <br /> Class of Work New Addition Alteration <br /> Repair Move <br /> Total cost of project X .52 X .01 <br /> (UBCFactor) (County Sales Tax) (Use Tax Due) <br /> Size of Building Al 4 Size of Lot /08 IG`'PS <br /> Water Source Sewer Facilities <br /> Required Setbacks: AI/X Front Side <br /> Rear Side •- <br /> Special Conditions: <br /> Approved by: _� Validation Date: !9 <br />