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C_TPY OF F.VFRET: <br /> R U I L D I tJ G F L 0 T P L A Y <br /> Lot Nc. �� �/ Blk. No. 7one I1o. Lot 3i.ze /Oo x / �/Q <br /> hddii,ion �� � /o /y �,¢ �i/� �' 'Z �J j 0 �bu,n� Street <br /> � � " Avenve <br /> L'nplatted Descripticn <br /> SiaN of Building Z ( r x G � � Height in Stories / � <br /> fiasement _ /l/ Q Occupancy �„� ��yik(,I, �,�;_„��_ <br /> V T <br /> :wner . �/n i, ,O o ��S J�/� A� Concractor u d6/i h ��C7 a A/S 7�l�A <br /> Date � � r /� — /� 5� ?ermit No. �Q z,3 <br /> � . <br /> ; � i <br /> t <br /> j ! <br /> ' � i <br /> � 1 � � <br /> . i I <br /> ' j ; i ' i <br /> � i ' ; <br /> j ; � i ; <br /> ; ; � � <br /> � i � ; <br /> � , i ; • <br /> ; , i � � <br /> � � i <br /> ; <br /> i i <br /> ; � � � <br /> ; <br /> , � I _�_ � <br /> i f—e' ���� i : <br /> I � � � <br /> O i��y �j <br /> �, I ; lN �N 6 � , <br /> ; ; j :�a i i <br /> � i � <br /> i � � <br /> � ; � � ! <br /> � ; M i : <br /> i ( , <br /> i ! <br /> + Fl�ont \I� . ' <br /> l�� <br /> Remarks <br /> / � <br /> � � •�� <br /> Signature ( ti / , � � ,� / � <br /> Qwr.er <br />