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CITY CF EVF�;;rT <br /> 9 U 2 L D I N a P � 0 T F L k N <br /> Lot No. Blk. Nr. Zcne i1o. L�t Size�x � <br /> � Jy-•-� ------ Street <br /> Addition_ ; , , �i�����l.1 .- , . i ', <br /> _� Avenue <br /> Unplatted De�rription \�--� _/J <br /> Size of Building /:�-, x�_ He�ght in �%tor•ies �i,,_, ,- <br /> — _ <br /> BasemAnt -- Occupancy ��r„„`_ __ <br /> Owner � ; Contracter <br /> Date � /� ' � Permit No. -• /S 7�J� <br /> � - , �-- ��-� rt <br /> � <br /> � � <br /> ; <br /> ; <br /> � � <br /> - ,., , <br /> I ' ��' "' <br /> 1 � � � <br /> I . n NI 1 <br /> 1 . t . ('�{� <br /> . . �i ( •I " . __ . <br /> i { <br /> � i <br /> .�; oI_ <br /> I <br /> I � <br /> /.. . <br /> i <br /> � I <br /> ( <br /> ' l( <br /> A� <br /> I <br /> ' <br /> I �}'OTl}, <br /> R�marks <br /> v?f/ `�� <br /> Signature ,���C��-y� :�' , � ���-.-v _ <br /> Oo-mer <br />