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APPUCRTION FOR HOUSE NUMBER Scrcet aund�vguue __ <br /> Date 5/7/63 _ Number AssigneJ 5001 <br /> Albcrt M. Burke FA 6-6782 <br /> Name __ Phone <br /> Present Address Rt. 5, Box 735 <br /> Legal Description of Property BLK 4 lot 12 Shore Acres <br /> CITY OF EVERETT <br /> ENGINEERING DEPARTMENT I;sur.d by Fred Raines __ <br /> FORM NO, 435-0Ot ��.- '���' <br />