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G1�!'I VC EV��ElT <br /> ➢ UILDINa PLOT FLA ?1 <br /> Lot No. Blk. N�. Zcne ,Io. Let. S'_ze �bd x lD � <br /> treet <br /> Additinn 3 c _��.riue <br /> Unplatted Description <br /> Size of Builcling �x :� � Height in Stories __6�{� <br /> � <br /> Basement Occupancy 1 <br /> Owner � l tt�v�¢,2�.�� Contracto <br /> *�gtP �' . ry(J _ 6 � Permit No. - �J'� <br /> � ��A <br /> 1 I <br /> ,R � � <br /> I � .i''� <br /> ` \ i <br /> I Ir � I <br /> � �� �� <br /> � �b <br /> I ( � <br /> ,\ <br /> v ss :�1 ���� <br /> �� ii . <br /> i �� i \�__ ._.�_ . _.. I� r � <br /> . � <br /> \ � �1 �� ,' '���'� � ( <br /> � � � -- - ` � - � i <br /> __�r�� � � T� i_ , <br /> 3. 9'� � �°�� � d�` <br /> - ------ _ -. --'y I <br /> �ont <br /> Remarks <br /> � <br /> Signature �7� ��4•�f�,Kf �CyC�, ' �RY'g'°n,. <br /> � Oc�mer <br /> —c. . <br />