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CITY GF EVERC.TT <br />INSPECTION llEPAR7P��FNT <br />!-�USING COP!SER:'ATIUN AND <br />�UILDING NDATEtv�NT <br />u <br />. . _.. ._ .. . -.J <br />I 1ClVESTICATION REPORT FOHM <br />Part I <br />Property Address �/2��L,V�T O�+ner's Nume _ <br />Occupancy � F _ O�mcr's Address • ••� <br />No, of Housing Units � Census Tract Block No. <br />No, of St�ries <br />Ar <br />ConstrucUon Type �"!�/1�'%r Complaintl YesL� <br />Basement: full � Pertinl Dste�� QCT 7� T <br />Concrete Dirt Tnspector(�) <br />Part II (CoR�plete this Section for Sub-standard �uildings only.) <br />Housinp, Untt Inform�tion: <br />D.U,/Apts, Vaca <br />H.K, Units Vaca <br />H.K. Rooma Vacant , <br />Cues[ Rooms Vacant <br />"Unclassi'fiable" Vacant <br />Housing Units in Cellur L/Yes [_/No <br />Butldinp, Datn: <br />Year Built Si:e of Bldg.` <br />Occupancy indica[ed on vost recent <br />Bldg. Dept, Permit <br />Perm!t Number_ 0.1[ <br />Preliminary ClnssiEic::tioo <br />1�/ 2L,/ 3L_/ 41�/ <br />Final Classificaticn <br />iL/ z�� 3L/ 4r___I <br />Subsequen; nction: <br />. <br />NoL/ <br />Legal Descriptton: <br />0 <br />Kroll Ftajor Minoc <br />Lot(t j I`�' Z Block �7� <br />Plnc o F ��r2� �, v ''C�j „ <br />Volume_ Pa <br />Parcel Description: <br />Parcel is 2oned � � <br />Dimensions of Parcel �'f '� Q� T'-���� <br />Assessed Value: Land <br />A�te Imp. <br />Appurtenant Struc[ure: Type <br />Size x Condltion <br />If p�rcel eentains morc than onc prineipal <br />bullding, liac nddreases of othcr such <br />bu[ldings below: <br />fiousing Cade Actlon: <br />e <br />