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APPLICATION FOfl HOUSE NUMBER <br />Da�e A�;�`,t [5�_19G7 _ <br />Street ''�� �� 'T -- <br />Number Assigned nl� — <br />— __— Phone <br />Present Address �V _ � <br />Legal Description of Property <br />Lot 21 Block 1&2 Beverly Home Tracts — <br />CITY OF EVERETT <br />ENGINEE7ING DEPARTMENT <br />FORM NO. M1�5�0c11 i�•e ^^-.' <br />Issued ny Bob Sullivan <br />.,�,y., � <br />