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APPLICATION FOR HOUSE NUMBER <br />Date `�-�� ",� �% _. / � <br />� <br />Street � 'J � �V � j--' �_ ,l ,� <br />Num6er Assigned - � � �� � <br />�----- <br />Name__`--- FZCiN I :�i �—t-C��,�{ t�- ` _ _ <br />� <br />Phone `' — <br />J t :J - Co �_� �� ' +-; <br />Presenc Address _ � � .. ��� �J -�l � � <br />Legal Descrption of Property � {� �T ` �'j ' � -�'J <br />.., <br />�_��-k� -T <br />CITY OF �VERF.TT <br />ENGIIVEERING DEPARTMENT <br />FORM NO. 435-001 'Q�...,....,, <br />r <br />Issued by ..-...'��--�- =�r <br />