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Lot N�. � �� <br />,., ,. <br />Addition, �� ' � . F�__ <br />CI1'Y ON EV�'R'.P,T?' <br />9UILDING PLUT FLAtd <br />Blk. N�. �- Zcne i1e, � - =� <br />Unplatted Description <br />L�t Size �'' �- x � � �� <br />— Street <br />� �/ <br />-; '�; J '' , �;.. . � �v.cr-7 t�venue <br />Size of' Builclir,g 2 y x 4' � Height i7 Sto:ies <br />� �� � <br />Basement �, 1= �"-' Occupaney �' :`, <br />� <br />Oo-mer; �1 i'. �/ l' 1) ,�: f�_ Contractor <br />Date ` Q� z`� �/Q G v Permit 1Jo. %3 %� $' 7'Ji <br />Remarks <br />Signature <br />_i , J <br />r � -^�, <br />�`7"� Owner <br />