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cz�Y oF ���;r^ <br /> 9UILDIN (3 PLOT FLA N <br /> Lot N�. Blk. N�,�_ Zcne ?lo. L�t Size SD x ,b _ <br /> Street <br /> Additi�n �a/L � �/D 09 /'�=,�j n S' Avenue <br /> Unplatted Description � �-� � ;, „ /,�.� J^ �' � ��2';�lQ� �//J.� ' <br /> — �o t���, i3o �. n/cl r✓ f Zg., 1 S o �,.�� � F %a �° rT— <br /> Size of Builcling �x J�' Li Height in Stories ��cL+ <br /> Basement �/, L� Occupancy �� ���o �� <br /> Ounter n,, y��Y , L5� F rSP/n� Contractor S,o L � <br /> Pate 11�1 aY c h q ! a�"% Permit No. �j /C� ��L <br /> � j I <br /> I � <br /> i . , <br /> I � � <br /> � I <br /> �d� <br /> � <br /> `u'� � � <br /> I � � I . <br /> 6 , i i <br /> ' i <br /> � � <br /> �\� i <br /> �iont <br /> Remarks � <br /> � / .. ' �- r <br /> Signature l % " ` -�ii, �i r � ,`.� <br /> Otaner <br />