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C1', i <br />IIU7LI)):Cii P1:1- <br />DATR octob.^r ' 11, <br />ADDRESS 01' M "C': i:UCT" <br />LEGAL DESCRIP"---ON: 1:JT <br />UNPLATTED DESC::.iPTIGN <br />BUILDING D£SC;clPTION: i]5`r7 ALS°1'10:d REMODEL-- OR REPAIR _ <br />'9 OF UAITS OCCii:":.ld_1 0]: L'sL sin -le FAT.il;y'STORI :Si _ <br />---- fi'esiaC`ce _ <br />IS THIS P. CIIP.:'(M OF NO <br />CONTRACTOR r G',1XJiii <br />MAILING — <br />ADDRESS <br />PHONE NUMBER 3F5- <br />�� 44' "' <br />CONTRAC TOi2' : L'i •v E`11, N C: i _�lr O ' _—_----- <br />SIGNATURI; <br />NUTS: T1111 h.i"'.J(:?..:'1' ,.!!?..... _i:, i. ;;L...:I:S C:O:iF'Ll: LY INCLUDING, <br />THE PLOT PLhb. ....._.::,i i , ._ a T:.7. <br />FOR ALI, I"J0!'I:' ;O:C i' C :?., i:;'1'1,ICLiiI .. :17 CHANC'S <br />IN THE :(iico:.... .r G.;, ; Lii_ '']..._ C.. .::,. 5:.. i,. ..:5 Ei::'.L1: ;; 1; Sf ;`;d7: Y'i'i:D 1110 1 {'h <br />INSPECTION D1VTI;IO:d I'6.. .. i... :. ]': - )1::G t9l ,11 TIT CO;:STRUCTION <br />S40RK. <br />APPROVAL: ( i <br />1. PLAIiNTNC, — - n"''A'I': <br />2. EN I—, 1991 % _ <br />CL— <br />PUBLIC <br />NOTE. :ELT, <br />ON <br />