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CITY OF EVER?�,`i`?' <br /> 9UILDING PLOT : Lt� N <br /> � � <br /> Lot No. � Blk. N�. Zcne No. L�t Size '7�x `f S� 2-� <br /> Addition-_^-�2�L==1.(." �GG��� .5 .3 d /FJ�.s-���P.aJ �let�venue <br /> ITnplatted ➢escription <br /> Siae o£ Builcling -� x Height in Stories / <br /> Basement %G ,Y Z �, Occupancy � <br /> �'J"4•—F--r-"" ��o �T---- <br /> U„ner �> Contractor�i���� ,firliJ-��-<-�`>-�' <br /> Date �_� '%; /f(�p Permit No. _ !(5 7� <br /> , � <br /> � � <br /> � � <br /> I <br /> t <br /> � <br /> � ,� ,,i� <br /> �-a ��`'° ^� , <br /> 5�7 �/c• ' � / `�' / ?o ; .� ii�i �c <br /> --- �- <br /> n I <br /> � a i � <br /> w � I <br /> �� I C � � <br />� I <br /> I <br /> � <br /> � Z4!, � � <br /> � � 4--_ I <br /> � <br /> � _ <br /> � � <br /> i <br /> � <br /> FY�ont � <br /> / <br /> Remarks <br /> Signature o� L.n��J <br /> Ovrner <br /> ��rh-�C��-.r-v) <br /> . 1 <br />