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�"�� <br /> I <br /> � <br /> L�� ^, APPLICA710!"_', cnRt xo. ...................................... <br /> '^ ' �' • � - � for <br /> The City of �- sro� s�wEn r��nu�r <br /> . . EASE3."�NT No. ...................................... <br /> OUTSIDE � INSIDE ❑ REPAIR3 ❑ <br /> — --- � <br /> �J �O � �i�� j�/.— �� p�- <br /> OWNL�'R�Qv..!t.�C.t....L/...'ifvL..��.._:................._.......................... CONTRACTOR ... ... .... . ........._.`.�.�.+.'�.f...'.�:......1�...':.'...... ... .. ......._. ..... PL�`RMTi No. ......................._ <br /> .���q� � ����t� �� STRliET <br /> HOUSENo. ..... .......!-••.........;: y..c.:..G'�""'. �..r...... ............ ...��... AV�NV� LOT No. ............................................................ .. .... BLCSCIC IYo. ......... .... ..... ...................... <br /> / <br /> Y NAhfE ADD. .....................�.................................................. ..................�`................. .................... <br /> ��.�,:t r,� <br /> � �r-9'� � y �ir • �-�� .� �� �� � �'!�1'�'e;/�� <br /> �I � � �! �r't'�//7- 3S_ � <br /> �- / 7��'8.�, � ''�' " `� � <br /> � � 7�'l. z s� � � i�s'� � �..���1. <br /> � ' .�--�-- <br /> I r-- �,l <br /> 1 � <br /> I uG � � � <br /> � , i � <br /> , <br /> i 4 <br /> � , �O i . <br /> I <br /> � � <br /> , ��� <br /> � <br /> - � ►- <br /> I G����-- i i���� " . : <br /> 2169],' <br /> 1 <br /> Date APPTo��� <br /> BACKFILL WORK ORDER ISSUED ................................... DEPOSTT� 5..................................�.......... <br /> S�VV�R WORK ORDER ISSUED ........................... .............. DATE ................................................ BY ....................................................... ..... <br /> _.�,�,-__ . ... . '_'-�-___ . <br /> ...�.a...owE,l�yti:„.�..._.. ..»,�r'r' .." .. ���-n<v�;..ai.>l.-•�-:a -..�.��-...:-.-_.,... _ _. . . ... __. ..___"_ �;M1y,k, <br /> S(�j}t+' <br /> ` F ! S` <br /> :...I.yy�i <br /> .3.%.��: �. ; <br /> ..,k'��_.}�i`.�'.i <br /> rr '' _'�.,:. <br /> -r:. <br /> J� ������ +J�' <br /> �•' <br /> .. ':'L`'._1itv. .. � . <br />