|
cz��� o: rrrin:r�r rr.r.ru�r r;o. 1 7 C^� '�-
<br /> m>r,tii;•rre;;r or co:cr,r,;171' 1�1:11:I.Ol��u:ta1. - t,fi��
<br /> aJx�.u�r;c ri:ieu•r nri9.IC�ii70?; VA1.11A1'IO:� ',�,,��-- —
<br /> — rriuirr r•i:e `, ' -_ —
<br /> un�rr �i.�>,,�� � � � " -�' . -
<br /> . ADDi.f,SS 01' CO;JS'1'UCTI027 1:01:}: _ 2-q G � � I P V P �M,�� '
<br /> LIiCAI, llIiSCRIP'fIO�t: 1AT I 7, ��i 111.00K � '� 1 rr.a•r ✓� � TL. �' L" f l_ LA C,I � � 5�
<br /> UNPLATTGU DIiSCR71'TJ017:
<br /> \
<br /> . —
<br /> , � P.GiIODIiL � /
<br /> BUILDISC llLiSCRIPJ'J.O:J; ;;E;! s,DllI1'IO:d o'r RCPAIIt �C
<br /> /
<br /> OCCUPANCY OR USG � C S 11EIG11TS liJ ST027L'S
<br /> IS TIIIS A C}U,\CE OP IIUILUII:G OCCUFd1;CY: YLS NO � ' �
<br /> CO:�TP,ACTOR S ' 0�7NER S•�; /� � L1,�L'yz ,1
<br /> lfAll,I��C � 21AIi.I1�C
<br /> ADDR1iSS ADDRIiSS ,.� 4 d/ r` � ,,,��,� � A�.,- n
<br /> �..r —
<br /> PIIO;;e t,11?�74GR c y,-J,Sr.l' �7 PHOiiE ;;lT:i3rR -
<br /> COt�Ti:1CTOR'S 1,IC1:t;Sti ::UPGSF.1:
<br /> • -� � � -- . -
<br /> SICi;�.TURC / �_���j,3.��e.� __
<br /> no�rr: �Cilf. APPL7C;.:;1' sI1,1.L FILL 1N Ai,T. �,COIT. III_4I::S CC'?'?'LI;TL'I.Y ItiCLUDIi:C TlIC PI.OT PT.1?;
<br /> Sl:r'1'�li 0'!1 RL''n!'� Oi' 'f11Ii SllL'GT, TIIF. APPI.7C:i:T IS R1::;P0.;5IGI.1: 1'03 ALL I��FO_`�i�PIOi� F.'111C1[
<br /> IS PUP,i;IRII[iD OC 'I;il; �l?PI.IC.!'I'IU:J. A`IY CI;.'.;;CCS I1I 'iG'� In':OI'.:;.1Si0:�� . PL01' YI�.:: OR L'1i11,UIi�C
<br /> P1.ARS SII;�LL Bi: Sli's::<Ii:CU 'f0 17II: II�SPCCPI0,7 DIVISIO:; i'Oi; Gl'1'i:01'.1L 6fiPOP.G P1;OCIiEAI1:G'
<br /> WITiI TIIIi CO\S7'I:UCTI0:7 F70P,1:. ^
<br /> �� � �
<br /> APFI;OP.iL:
<br /> 1. PJ1+17i�INC. � � DATG �v ' �7� ]g-
<br /> 2. IiKC:7 h1:l;P.I1�C .
<br /> TftAI�I'IC DIVI;iO?l �
<br /> . �dA'f1iR SI:f,VICI:
<br /> . SL3dG1: SI'::1'ICT
<br /> runr.IC S::f,1'].Cli SI;C170i!
<br /> 3, TWSPL''C7'I0�1 llCl'.iI;TAtiNT
<br /> 4. I'II:C 14h1t;ildl.
<br /> N07'F.: h1,L C0;;;7'I:UC,1'i0:: 1d0I;); ^11:1i�1. CC;11'1,Y l!1'fll AI'PI.TC?,1;L!: CUI:;?S, 1:OTl'S 0:: UI:i,WJNCS , A1:U
<br /> II;:�1'I:(:1']O:;S
<br />
|