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CI7'Y Cr EV�FT'�' <br />9 :JIi,DINC PLOT FLb 11 <br />Lot No, 3,� Blk. N�. Zcne Plo, L�t Size 75 x 4<<0� <br />Street <br />Addition /^'��/ ''._t_;n,otiA- ST, � <br />IInplatted llescription /v�/- i" `� a;.o,�.� . $T . <br />Size of Building U, Z� x 1�� Height in Stories Z-' �o.;uv, • ��vYinys+,-, <br />Basement Occupancy '-V�(,�?LLl1�� . <br />b ,V ��-1 <br />Oc�rr;er {-� .� e�=p1 u- Contract.or j`�C, nac=��rr,..0 �.eu:.7 i:� .(,�, , <br />� uo <br />Da�e ? QC,T �;G) Permit No. �j ,2 � <br />� <br />Remarka <br />Signature <br />Ocaner <br />