|
- -�.�. �.:�.,.. ::...,. �:.: ...._. -__.._...: �. � i:.� - ��� ;
<br />�
<br />, 4'fl ��� a�. �-a:�� friy,F,';:�p:si:".� �jt�)�ue "n�,'?,�,-a,-`�
<br />'�, ` 3._a 5`v c5 �.'� il �S �-%�i� k ;� S"r. 4 �W"� @ � r •, K" — =.: � ��4 c'-"+.i 2 S �1:% il�:h
<br />� ��i=i'`"' � � ,rr t��_^ � �Cy p"� Si�.r��q-s•=-a_
<br />.'J � i� �5:1� :�:�ti�'�.r.M" t � C"��`'^Ac�... .�f..^. F<:w-�,�,
<br />�2or, .^,EDr,R 57RE�T. c4T:R,:rr. ':- iE, ss2r,�
<br />42:i-2�i-9S10 I'rvt 4LJ-2S%-;iB:.% — ::V1'JL<l�P.fP�:,vv2.O�y
<br />>FPL.1C3i."ii'aP,;S r.it;;:.n4!'-t9"r � r� sa,t�Nl $:aH 7%a =i ;`94
<br />�!�o.��c.r �.��r«_��.�
<br />� ;, :
<br />�� `��9nef _�___.'_.
<br />i
<br />, ..: , _� � �
<br />dWnAtlOrass ------Gty 5!atr;IL:p --'"--
<br />_.___.___...____'__._.._.__ —
<br />', Tynant Jta•.i AdOress
<br />i' �
<br />_�
<br />--' -.C.'I p l "i'_Y�:Y:L� �� '�� G 1^: � j =—
<br />[IBCtncdl�lptl!f�CiOt t.lztlAdtl.L'Sti
<br />��`� ..,.� �f.�� U` �J ii.��.'_----`-------._
<br />Siato L�cense Numbei
<br />.�
<br />, '
<br />. . �
<br />_J_r � � .._.�_____ ._._._..._
<br />!'rvposed Uso ot Ciui'�c1ing � ..
<br />Phore
<br />Ciy'__—. —Sta!n7;p_____.__" Pnor< I
<br />�
<br />;{'��j � S� c: i G.i �: L�.�:lc. ! r. �-, `� ; r �i'}J. )';"`:.j ,
<br />CL�/ SCrte Zqi � PYons li
<br />��__— I
<br />: bmran Prics nf �Vo�k i
<br />i
<br />---'----- _�...--�----- �
<br />Conl3ct Per;;,n �Pten Rev��w) �
<br />' � •f,�'; . .
<br />";`t . . _ .�.>_i
<br />Jc::cnPtion.of VVen� to de Done _"___'_'__ .. . •.- ' .'." - '_'^`_._ '
<br />. .., .. . .� . � � .... . : . . . .
<br />..�. .,: ., . �:. . �- • _
<br />_...�.__���_ _"�_�"_ __ _"— '._.____�—__
<br />! rd(�TE� 1`:I .': IPI N�`.?4(1'JJFI 1.11•.I�:C I� AF�]UIRFI� T��
<br />t�r- u•i ��z��ce�.��0.Y5, lac or: �c c��a�E .
<br />' Cil'Y Gr f:1/rflG�}-i i_OC:HI SA�ES �f�qJ; C:iJE i5 ]tU3
<br />�', ! hr.reby certrly f.qaf 16�rs ,-ea� and e�ammo,? mis apphcaf;on and 6nuw Fhe sunm W be fruu and
<br />�, c••rurl. !��.Ir provi�icns �1!aws unr( O:dinnnccs ,]nvummq L7r; h pn o' �.rorF ���;:� nc cc.mn'MCO
<br />�. �amfh�r spe,:d,ed here:n or r�of 740 oianlinp nl a pr,nnd dons no! prosunei !o grou ai�f4ont� fo
<br />>�o!a(� or cantnl fhp pr��r�e:ons o1 eny n!ho� �(afu o�local law �rgvfafnnT ca+:6:.�c�n�i or th^�
<br />p,; r/orma:tcr nlconst���cfiev Thr.( l nm aethcn:ed by the �wn�r nf �nis ��roperty fo pe:inrm tnz
<br />. .ak fOr �•ihrch epa6cuBun �5 ,�r:3(!e anJ I comply whh Lh� SIAIA COfI:'AC!O'S' LiilV 7C.:'%h?ClV a:;•!
<br />� i 5 20G VVAG: "•
<br />I -- � .'. ' ��i _—'_'_'..__`.' �'___—'_�_-. o . . .��_'
<br />�,'d;i�.nw.�
<br />i
<br />(FF.E ,___,—.—_. I
<br />. . �.: I
<br />1�--�— - ---
<br />-- ---- I
<br />E►ydS�lc�� I
<br />i
<br />
|