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CIiY Cr FVrD.TT: <br />SUILDI??6 PLOT FLI+'d <br />Lot No. J l Slk. N�. Zcne ilo. L�t Size G'v x�yc <br />�/ �1 � Street <br />Addition „�� ��y�F_-�1.�i%'T, o.r ���1/ )� /J � � r � ,_ E kvenue <br />IInplatted Description <br />Siae of Builcling �_r o?�_ Hei�ht in Storiea �_ <br />Basement �,��, Occupancy ( �a r ��' �"4 <br />O�mer �r j� / /� /�c•� p Contracter /�c.r/c� / /� /Sr'�•�_ <br />Date � G 5 � t Permit ldo. � / � � � ��_ <br />Rem� rks <br />Signature <br />