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CITY GF EVF_R:'sTT <br /> �-�'Rc%�,p^� oF 9UILDIN (i P LOT T L 'i ;i <br /> - A��. _� <br /> Lot No. (S' � ((o Blk, N�._ 3 Zcne �70. �%('- 1 _ I,�t SizF � x <br /> /� � Street <br /> Addition_ S�f�¢ rE' � `�j ��"I �f�aZZ..,.-.�d.5�_Avenue <br /> Unplatted Description <br /> S3ze of Building ��x 5 F' Height in Stories :1-. <br /> Baser��nt ,� Occupancy - i �-��� „-t-�ie,� . <br /> Oc•mer ��L y� � ,�„u ��_Contractor��p()�S �e�r{�' <br /> Date �it�lPCf f� /! -/`�.1`� i'ermit No. 0 2.�L <br /> � �� _ \ � <br /> � _ 8 �, �N e a-�i e rL. 'f <br /> � �� � ��I S�JI <br /> � �. �,.;�oo ' _��, <br /> � , <br /> I �� • � � ' <br /> , <br /> � � <br /> , _,�_ _ <br /> V '�" <br /> � / �.�Q <br /> � ti <br /> � <br /> \�' <br /> ' I <br /> �"&V '�� i I <br /> ! 1 �� � � <br /> � <br /> � <br /> Remarks <br /> Signature <br /> ONruer <br />