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CITY GF E1'�(.rT'i <br />B;! I � D I Pd G F L 0 T r' L A.�_ <br />Addre�s,�[�a�c �'l� c� _lone (Jo. ____Lot Size x <br />e� <br />Le�al Description: Loi /L s�.f� % Block rlat _ __ <br />Unplatied Dascription <br />Size of Buildin� !v '_X_ � o' Hei�ht in stories��w <br />8asement Occupanc <br />Qwn�r -.. �-_` __. Contractor <br />Date �Q - � — .� `1' _ <br />Perrnit f`:o.._1 � � � <br />io-i-�� <br />� <br />Rerr'�� rk s_ <br />Jlrr�]'.i�i",'_� 5:�2_��_L• .(K'c.. <br />_ \ �. � � �:,— <br />(l�;;n: r i <br />