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CITY OF EV�-tl�'iT <br /> ➢ UILDINO PLO7 F LA :� <br /> Ido <br /> Lot No. �Lyy�� Blk. N�. .�� Zcne ifo, L�t Size +'� x�� <br /> � \ Street <br /> Addition��1�����1 d.y� � �..�r v�� �,�����),,��y, �1��� Avenue <br /> Unplatted Description ,� / / i �A�._«, <br /> Size of Builcling �Ki x �� � Height in Stories � �I� <br /> Basem�nt ��� Occupancy /�-��i:��_ '—Lo_r�.�Cy i-S.t�Y.L'Qi.�-f . <br /> _� <br /> �� z <br /> Oxmer � �c., ,-�,o��\�e� Contractor �� (,�ti�9- , fY�_��J'.-��_�._ <br /> Date �� �\'� �� Permit No. �� <br /> d.� a.5 1°' � a. � ��- %� ° � <br /> � �- ��..�o- l - �U �� 5� � <br /> >c= i ` � <br /> _ _ _ _ , <br /> i �-- — ; <br /> , <br /> � , <br /> � <br /> I � I <br /> � <br /> � J� <br /> � � ' 1�� <br /> �\;� �"'— j , i <br /> ` i <br /> I : <br /> a8� � � <br /> � i <br /> � <br /> ` � a ��nt � <br /> 7 ,, <br /> : �,. �� •, <br /> Remark� <br /> Signature _ <br /> �. Ocan r <br /> ., <br />