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CITY OF EVz�'4GTT <br />� U I i D I N 0 P L 0 T F L A N <br />Lot No,��_ Blk. N�. ' Zcne �o � l'�:� /j"p <br />1 � �J�___ Iwt uize _�x � <br />Additior.�(-%h��j0 /1° !��/i,J � St-reet <br />7��` �% • rlJ� G �� // /�,.,�uer�ue <br />Unplatted Description � <br />Size oi' Euilciin� ��_x L/C� cf- Hei�ht in Storie, _��F <br />Basement � Occupancy 5(N�r/�' �-,c,� /L� r(_=S' l!)f�ni r�- <br />�'�r �— ��� �/� �i1rJ ���/ Contractor <br />�tP f GT' Sz�_c� <br />� S / Permii No. �t - / / / 7 rl <br />Remarks <br />Signature � � ,�_,� /!� � , � _ `_ � <br />