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Addresc " <br />Le�al Description: Lo <br />Unplatted Descriptior <br />Size of 8uildi <br />Basement <br />,� <br />Owner � <br />, , <br />n,+P <br />;,�7�� ��r cvcRETT <br />BU I LU I �G PL �: T FL AW <br />Zone ' <br />� Lot �iz <br />� � � fileck : f'lat <br />— � <br />' Heieht in stories <br />Uccupancy <br />Contractor_ <br />�'ermii No <br />�: . hront /G� —� __ <br />� <br />�ignature� ` <br />Flannint�: <br />�riffic: <br />: n,_ineeri <br />l'later: <br />Electric: <br />Plumbinc�: <br />BuildinP' <br />� <br />