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! <br />cT, Y oF rv�rTr <br />9 U I L D S N 0 P L 0 T ^ L A M <br />Lot No. ,',J Bllc. N+. --- Zcne Vc,. - L�t. Size _- x-% s- <br />Addition �-y/;,,� ,.f-rr.-� �/�.� � .; , - .`. Street <br />/�Z .i� ,�l��,L!1�_ /3-i�•aE, Avenue <br />Unplatted Description <br />Size of Buiiding �/y x _, v Height in Stori.es C1'�t¢.- <br />Basement '"' <br />,�o ��ta - �,, Occupancy <br />� � . : ,. <br />Osmer _ __Q -.- � -w ,./f.� , ic � Contractcr /? _'�:%` . . �; .�� <br />i ' � <br />Date � i; �,.• ,�, ` Permit I1o. /cf q 5� <br />Remarks <br />Signature ��,_f�/ ��,��� <br />' (r'�'f���,�a", <br />