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CIiY CF ��'V�'RI?Tr <br /> ➢ UILDSNG PLOT FLt+ :� <br /> Lot No./,(NPl TRRc'r'_ Hlk. N�. /,cNO� Zcne ilo.____ L�t Size ` x � . . <br /> 6 o b Street <br /> �i , �.�; . ,�. ._. <br /> A�iditinn <- ,� �: _ / � Avenue , <br /> Unplatted Descr'_ptionY /r: •, �_% i'c- "r� L-'�IG� i�i/,�_ �,�o r ✓c'• - �"/ S ) <br /> Size of Bui.ldin�; /o� x ,' �.� Haight in Stories O"�—� <br /> _, <br /> Basement �� o • Occupancy f"--�l'��>-�+-s-��- •_ _ <br /> O;rner - ���o�f, _ ��.-�.:-r' L�»..�_ Contractor ���-✓I �� ��� ,���.-��.--- <br /> � , / <br /> Date ' -S - S9 , F2rmit No�/D �07J <br /> �.S !�' > <br /> i � <br /> � <br /> ,y � <br /> I ' <br /> � � � \Rq�'• ,'� <br /> � - . � <br /> I � �� « <br /> � y�' <br /> � <br /> j m I��� � <br /> � ��. <br /> i, �( , � <br /> I ` \ ~ <br /> ��� � V �� `�1_ <br /> I � \ <br /> ^, < —z8 -> i <br /> � �� <br /> � � <br /> i � <br /> poRc� .� <br /> �� <br /> N <br /> �ont. � 7d <br /> E- �`� -� � <br /> . �"lb.,a/"S <br /> Remarks " <br /> ���7 /.�!: �'o .0 � <br /> Signature �u:C_ - <br /> / Oirner <br /> �.� <br /> � <br /> � <br /> 1 - -- � <br />