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APPLICATION POR HOUSL" NUMBER Struet _ B3k2Y 1'�,I,Ve _ <br /> Gate 1963] _ _ NumberAssi�ned—_ 9612 __ <br /> Vernon Haines FA 62533 <br /> Name ._ phone _—_ <br /> Rt.S Box 819 <br /> Present Address __ __ __ ._ <br /> Lot 15, Davidc Marine Acres less beg h�i4 cor th 5 alg <br /> Legal Description ot Property __ _ <br /> W. ln 109. 66 ' th L at R ang to t7. ln Lot 15 th W alg N ln to TPB <br /> & less beg most Ely cor th Wly alg Slyln 80 ' th N. on ln pll to <br /> E ln to Nlyln the SE alg Nly ln t:o POII plus interest in playyround. <br /> CITY OF EVERETT /C1tX Clerk <br /> ENGINEERING OEPARTMENT issued by <br /> FORM NO. 435-0OI �ly.-�- ��"�' <br />