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, <br />. .. h_. . .. . . .a._ } <br />CIi'Y OF L;VL,41?TT <br />9 UILDIN(} PLOT ?'LA N <br />Lot No. � / ;'� Blk. N�. � Zone PIo,� L�t Size �x Z` , <br />�w,..;.�,.�.;, j C�„r Street <br />Addition��iu/, S/� _5.�.�, r,..,,.,i�-w•u ` r`;4n' �venue <br />Unplatted Description <br />Size of Builciing ��X�_ Height in Stories ;' <br />Basement �/1� Occupancy ^ !' ,�j�,_.,�, <br />, � � <br />Ormer � ����� p�,�_ Contractor ' <br />Date / /G y Permit No. i3 ` <br />Remarks <br />Signatur� <br />Ocmer <br />