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CIiY Or L'�1L'4?;TT <br />9 UIZDSN(7 PLOT FLAPI <br />Lot No. �� Dlk. N�. _ Zone No. L�t Size �� x/O� <br />Additi.�n� i G/� G a N� �d r.� s r/o,� �_ .�" l,�Fl� l, a��Aveaue <br />Unplatted Description <br />Size of Builciing _ Q% x�Q Height in Stories /f1�y`,� <br />Basement �_ Occupancy (' fU E' FaM� � y <br />a�mer �����4���Contractor ��j�j� gz Gr-f.,�.�---. <br />Date ^ Permit No. �•— � l J!v z <br />Remarks <br />Signature ����,J��, �-.�.Zr,-� <br />aner <br />