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APPLIC.`,TION FOR HOUSE NUMBER <br />Date 30 Nov. 66 _ _ <br />5[reet <br />Number Assigned <br />Name Southlatld Cor.p. (Grocerv Store) Pr,�ne—.—_ <br />Presant Address `��1 & 907 Mdd1SOri <br />Legal Descrip[ion of Property W2St 122' LOtS 68 & 69 <br />Less the South 30" for Road <br />C�TY Of- EV[RETT <br />ENGINEERING DEPARTMENT <br />FORM NQ 435-001 '��. �-��-� <br />Issued by—g�..,��.`T�S� <br />„��.> <br />