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APPLICATION FOR HOUSE NUMBER Street _COlutnbld Ave17U0 <br /> Date!"1dYCh 3 . 1964 Number Assigned ZO10 <br /> Name h'd1teT C. Sdrid ___ phone — <br /> Present Address NeW residence __ _ <br /> Legal Description of Property Block 20 Plat of Pinehurst Division B �ast 12 ' of <br /> Lot 3 and all of Lots 1 and ?. <br /> CITY OF EVERETT <br /> ENGINFERING UEPARTMENT Issucd by_.���.t,�..,.,�—*=su.°a2a,a <br /> FORM N0. 435-001 Q.-�-�-- �t� � <br />