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APPLICATIG�V FOR HOUSE Ne�d6ER Streel Crown Drive <br /> Date Apx'll 6� 196i NumberAssigned BZZ <br /> Nume Dr. Tom Skalley Phon� <br /> Present Address NeW HOme <br /> Legal Description of Property_ Lot 5 <br /> Harbor View Adlition <br /> CITY OF EVERETT <br /> ENGINEERING DEPARTMENT Issued by�Larrv IIouslley <br /> F09M NO. 435-001 '�v•-�-.._. ..�,."�.,n <br />