|
s���r � r �. z � �
<br />cr�r�• or i:��i:ri:� r � rt:ri•rr,• r�o. /S3�'/
<br />��i:l'lil:'I'iiCl;'P Oi' Cl.`��'�III;;7TY I%Cl'Ii1.01'iL'i1;C. DA7'li ISSUI'D —^ �%''� �
<br />CONS1'RUCPIOtd P�III•IIT APPLIC�1TIOti ✓VAl.li�\'CJO;J � Od r ;
<br />� I'1':1;i11.7.' 1'G(: --�L� �
<br />� ra•rr•. I O' 2- 7 z �
<br />I
<br />no�n:iss o: co:;;•rucrr.o.+ ��or�:38i8 R�i�.w��r �U� accoc�;''SI68-644�-d�o-0000
<br />� ' "E ' MITG.q6��. l...ANt>� IKP2Uj
<br />L1iGAt.11LSCCIPT7q:;: LO'P�O*l�l?l� lI.00I:%4Q-P PI.l�T GO. IST ADI�
<br />-r--'�'9
<br />unrr.n�����ru nr,sc!:� r•r�o:a:
<br />)iUI7 1)I;�G iii:Si;;;II"� I,^.?1: i'Lit7 _ _� !LIiDI1'TOi: _ _ oT ft1iPAII: �G �i L1(`, �(_, 1...
<br />OCCU1'.`�I;C}' Ol: US',i C O(V(��[��� a i�___ • 111?TGIITS Ii: ,SP.OI:IES �(�2. ____
<br />IS T.'IIS A CIIEliC?; QQ> EUI1,�)]l;.^. O�:;UP;::;C1'
<br />co:e•r� �;c,ror
<br />rv,i,; � �;c
<br />6llll:: i':� S
<br />Pt:ri:li ]:u:t.:_l:
<br />O tU N Efa. _�
<br />C0:27'i:',Ci��i:'S 7.:(C:":$(i :•iUle�ii<;
<br />V SXCi'.ii!'ii?;'.;
<br />Y1:S _ _ NO __I�j O ^
<br />��,:��.:�: �.lA.Mr �. � �,t-.�, � s�.��
<br />r��T�.rr:c -
<br />nuv�:rss �8 7 8 f.��5 i �.u1�`� �1V�
<br />r . .
<br />:1V�R�: r� -
<br />rt;o::r, ica;�:>>:t: 2 �_4S� _
<br />Di01L. :i!:.'Lii.'i:?:i.:.,;'i S:?'_T;� i'II:L 1::. :�Y?'..,;OtE I:_. :i CQ_'ii,l."i;:T_•`: Ii;�i'.;llI::.^: TIi?: Pi.O'C I'T.'.�
<br />s�;�_rc�' c:: r.���, : �c�:T, �!: .. ,,,�, � <• i::. ...., ,. ,., , .
<br />, c� :, .:;.�t. �rr,� ,;. � r.�:c�_;r .r., s;�o:�;s� ,t� � �_ ,.tr, i::.�oi:.���ria:: n:��.c��
<br />JS♦ 1�'(li:�:�.:....i:� Q�i �1'ii i�l'��1.;'il/:�,.i�;l'�:. /�i:'/ CiL..i�lii Ii�l li;,, /1�:::'nI!::i��T.iJ�:� 1'1.(1'i PI_'C; 01:�li1ill.i:Ii..,
<br />PI�M1..::. ���i...L :i�. �;.i.!.I:111�) �1\� :��li 17.�J1�Ll.��.�:.� 1�1:��Jl�l:� .IV�.� f11�111��t�lji il•l��:1) (�L ..
<br />)i..1 ( . Pl.'" ;irlli�.
<br />1J].Y'I! li1F CU?;�Yi:iii�[IU:i id0i.:..
<br />APPLICATIO;! P.ECEIVED BY
<br />AP^ ;��••�lL:
<br />1. P7,9i;i;ii(�
<br />7_. L•'til;I:ii'l:R'ii;C
<br />• 7'I:i�.';r7C 1�J1'iS1:0�:
<br />1;liCl'';. �1.":"e:(Cli
<br />Sl(l: i:I',`5::!:V l Ct:
<br />3. . I I; S t'iiC7' l 0i 1 1`i::'P, I:'1'?•ti I;7' �1,��1�
<br />---�---t
<br />�i . 1'1:1:1: 11�,1;::!!: •.I.
<br />llATl
<br />_ �a�v�7 i !_
<br />P;079i: AT,i, CQ:�:i7'i:tic;l')0�� ICi�;;l: SIV�l,T. C0;11'J:t 1:7.TI! �;1.'1'L[C.4DLl: Cql�l::;, 1';07'IiS Oli I)I;ASdIt;CS� AI;ll
<br />1Ntil'1;�.:7'1.IC:t; ,
<br />.
<br />
|