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APPLICATION FOR HOUSE NUMBER <br />Street 74fh Sf C_w_ /\ <br />Date 5/90%g Number Assigned '} 3 <br />Name Mr. nn a4r� —Phone <br />Present Address New Home <br />Legal Description of Property <br />CITY Cr `VsiRETT <br />ENGINEERING DEPARTMENT <br />FORM NO. 4354)01 ©..-.- <br />shield Crest <br />Issued by Lorry E. Boushey <br />