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CITY 01' E'Vlilll:I'T l q q 9 7--- <br />lY„I'AI:'I'I WN'I' 01' CO;:)III;;]'1'1' DI:\'IiLUI'r11iN'C.DATE TSSUIiD <br />CONSTRUCII it 1''Iir1IT APPLICATION VAi.UA'I'JON 3 <br />lf)ATE. (j <br />11ADDIJ:SS 0:' CONSTUCTION 11011K <br />ILI::Ai, llrSC1;I1?TIU;9: LOT, Af `r/ O ])LOCK SS/ D-OL PLAT-9 r SOD- <br />IUNPLI:'7"11:U D]:SC!1):1''1'ION: <br />)iUILDING ll1iS(:RIPl'IOIi: illill AI)llITION �ll'_ or. REPAIR Sf-- <br />OCCU i'::NCY OR U:ili v < re ]lli]:CIITSF IN .ST( i:IRS — <br />IS THIS A CI!I:,1N'G1: OF I:UIVY.1' O OCCUPAY.C')':• YES _ NO --_ <br />CONTRACTOR SAM E <br />cw-n, c�or,'s LICss 1•:urlini!L <br />SIOi�'!'11�G <br />0;?N:ill � -•%'� L(/u�,"scC� <br />c;a-O/ - <br />rFlo'.<r 1;Ut!i)II:j�- <br />:T.L FILL IN .',i,T. !,::0:1: R;_':1;'' ^ v ,: r T.,�.' <br />N075: '/,FI'?.?:%;_::'P 11f :S C_:IL.1:'i'..L. I;;'.".i3..UT::,: T..li PvOT P" `� <br />S!:1:`1'C!i Gil lt5 ,i: C_''T!irS SP•.'.ii9', 1'I::. ;.Ni.'i,):C,_:]' IS 11? .•i'Oi:;;T: h: I'Oi: ALL 1i,'.'Oi( !A710N' Sl IC:1 <br />IS 1'Ui1F?:''l':D G:. C!.I: i• J:YC::fIOi:. /ui1: C!t MES .l'i; 'Pill; I;1:0!:ilaTl0:;, PLOT1?I:P: OP. U11II,i.:'fl;C: <br />I'[ i;:i 071'.11 TO 'Iil.l;ri'Un;!i I'l:0(:L'',all;: <br />11111'll THE CO25'!'iJC:xIO?i l?UP:,/n <br />APPLICATION IIECrIVGD BY <br />Dar 8'9"7L <br />2, "TiGII:IiliRii;G _ _ -- <br />Tl'J,1''.IC DI\'TS:(U:: <br />SEVER 5::R1'1Cr <br />3. .IN:;PiiC'1'IOT; D;:rv:rrrNT N-- <br />4, • Y]:IU: IKUSIIAL _--_-- <br />NOTE: ALL(:0i; ,'i;llC I0;1 i•;UI:1: SHALL CO:.;PI;c IJ.Tll APPLICAIii.E' CGI11i(:, r;U'1.'!iS Uli U1:A41Ir:CS, AND <br />INSI'ht:'Plo:;:; ary OF .GVCRF:T'T <br />Af'I'12O EI). i-OR BUILDING PERMIT: <br />