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APPLICATION FOR HOUSE NUMBER <br /> Screei Casino Rd. S.W. _ <br /> �123 �� NumLer Assigned 818 <br /> Oeta.— - — <br /> Neme <br /> 'Villiam Boland Pnone �55-7312 <br /> Prerent Address_ --- <br /> Legal �escriptlon of Properry— W 50' _ Lf 1 pl of Solber4 Add. <br /> CITY OF EVEPETT Issued by CAF <br /> ENGINEERING DEPARTMENT „�,,, <br /> PORM NO. 435-001 �w^�- <br />