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C?iY CF EVL�rTT <br />➢UII DIN(1 PLOT I'Lk'•d <br />L•ot tdo. � Blk, N�.� Zcne 210. L�t Size �, (. x: <br />`; , i Stre=t <br />Addition ,; "� � � �',c-�-ci y� , � �, � ( Avenue <br />Ur�latted Description <br />SisP of Building 'i � x �' Height in Stories / <br />Basement ' �� � Occupancy �- i <br />Osmei• � .' C .' , `( / Contractor _ <br />Date �---- � [� ,3 Permit ;Io. n�- �S �.�G- <br />fienark� <br />/ 7��� 'J <br />�` ' ' / <br />