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APPLICATION FOR HOUSE NUMUEfl <br />Date Senirmber 12� I�G' <br />Street <br />Number Assigned 1�29 <br />Name �. �-- Do]Fa� __ Phone PR6—oo13 <br />Present Address <br />Legal Description uf Property P�r�f �on �� Lo{ 1•—�}.Q�1L�.-1 <br />Deverly Home �r� Aiv. No. 2 <br />CITY OF EVERETT <br />ENGINEERING OLPARTMENT <br />IqHM NO. 4J5001 �', .-�.. <br />Issucd by___�.�eYa�1 <br />