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CITY OF EVL�t�TT <br />B U I L D 2 N G P L 0 T P L k N <br />I.ot No. � Hlk. No,,,�'�� 7,one No. '� % Lot Size � x/ 0 U <br />i. <br />Addition_ �/P(� /C'!�j (� i�� � � �C� � �.,L yr,/ Street <br />� ! _1� �v f- �� r.� �� `Z Avenue <br />IY�� nLl T 1� � _ �� I �/OJI���L K/� <br />� ��n ` _ <br />n <br />Size of Building �� � S� Hei ht in Stories / <br />Basement Occupincy I � <br />Qwner �1 , �" = ��`' � �_ htC.[a.��,.�". <br />—�__t._ Contractor <br />� , / a � c' � <br />Date ���_ (]' ) i Permit No. �� <br />, �,��'�,� r i c . l'/L� �.�: <br />Remarks <br />,, <br />/Z ; .-�. <br />� <br />� <br />�� <br />� <br />i� <br />� <br />�D � <br />. <br />Signature r � ' !`�� � <br />f <br />O�aner <br />