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CI TY OF E'JERETT <br />� c_ <br />.�j�DOo. <br />,� <br />� /S. — <br />Address �"i �,:i, . „ � /�`^'-"LGne _ Lot �ize i' " x � <br />�egal Descriptiom Lot •��� � � ' Block Plat � � '� <br />Unplatted Description <br />Size of Building ''� �' � � Height in stories _ <br />Basement V".'� _ Uccupancy <br />�,-, " <br />Owner �'� � ' Contractor '�• : <. Y � . <br />�a+a. �/',/L - Permit No. �3%�0 <br />-- v-� �_G� <br />Planninp: _ <br />Traffic: <br />tnpineerin� <br />�dater: <br />Electric: <br />Plumbin�: <br />Buildin�: <br />Front <br />Signatu <br />