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Lot N�. <br />Additi�n � <br />Unplstted Des <br />c?�� eF rv�rrr <br />9UILDINa P LO T I' LA:'7 <br />Blk. N�. 7.cne ilo. <br />� 90 �/ �@�, �'�� <br />1,4t $1ZP. X <br />7 �treet <br />Size of Auilciing � a�_ Height in Stories a <br />Basement Occupancy �6—.�Q ��.� <br />0�'i'1'r —/�_ -� Contractcr �_.�, <br />Date �� �. 7_ ( sq Permit No. �,f-' 6( <br />Remark; <br />a <br />Signature <br />�� <br />