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�Il`( OF EVEFEiT <br />IP1Sf EOTIO�?d uEPAR7�;:�hJT <br />I!vUSIfJU CG��!�Ff;VA�iIC�! r1?JD <br />BUILDII'iG A�ATE�:I=NT <br />1Pi5'ESTICATION kEPORT FOkH <br />Fart I <br />Proper[y Address �-o�U� /i1Ar�hIS£:N� -�{v�= <br />Occupancy ' S• F• _ . <br />No, of Housing Uni <br />No. of Stori <br />Construction Typc Fi='i}i')t� <br />3asement: Full Pnrtinl_ <br />6 <br />; T�r/���Z—` <br />Oti+ncr's Neme ���_7 /% _�� <br />Owner's Address �'�-`� }�'1��'isoti' <br />Census Tract � Block No. <br />Complaintl YesL/ No�I� <br />Datc Timc <br />Concrete Dirt Inspec[or(s)__ <br />Part II (Comple[e this Sec[ion for Sub-standard buildings only.) <br />Housinp Unit Informstion: <br />U, U. /Ap <br />H.K. Units <br />Vaca <br />Vacan <br />H.K. Rooma Vacant <br />Cues[ Rooms Vacant <br />"Unclessifiable" �a�en� <br />Housing Units in Cellar (_/Yes <br />6utldinp Data: <br />Year Built Size of Bidg._ <br />Occupnncy indica[ed on mos[ recent_ <br />Bldg. Dept. Pcrmit ��, � <br />Perm:[ Numhcr <br />Prcliminary ClnssiEicatioo <br />1L/ zL/ 3L.� <br />Final Clnssificatlon <br />1[�/ 2L/ 3[_/ <br />Da t c <br />4Lf <br />Subsequent ne[Lon: •Non <br />Legal Descrip[ion: <br />G <br />Kroll Major Minor <br />Lot(s) Block <br />P1A <br />Volume Pa <br />Pnrcel Descri�tion: <br />(_�No Parccl is 2oned � � <br />Dimensions oE Parcel _ <br />. <br />Asscased Vnlue: La <br />Date <br />Appur2ennnt Structure: Typ <br />Sizc x Candition <br />� If p�rccl,con¢ains r.orc thnn one principal <br />building� lisR addresses of o[t�cr such <br />building9 beLoH: <br />f:ousing Codc Action: <br />