1980, 07-21 Permit: 80-7167 Inspect19
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COUNTY BUILDING
— CODES DEPARTMENT
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nAl1 7/14/80 i - A
• APPLICANT: COMPLETE NUMBERED SPACES - PRES, HARD TO MAKE 4 COPIES
04 .. '.1001,„
.. JOS ADORE
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q.EGAL DESCRIPTION - SEE ATTACHED
,
* 7.00
0
I BLUER SUM/ .V7rE1N
PARCEL NUarSER/S
92&.'44'...°7
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eel
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PRONE
822-2780
IN* ai Percei Zane Clarril lam an
6479.
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CERTIFICATE ao.a. nee e. rl Rea,a.
of EXEMPTION
Y :,
I 00100I01 100511
. - Itatall rst.s...td4ing-firoplao. and prof brioated ollimoy
nCot LECTED
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0ASAT - CTRIC wATER SEWER
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1 RSIOIN 5111134 NW 1 haw read 44,41exa0411.0 din EdIsliCarrOn .04 3,814 wad Ow -40110E- olucEsain. included
an 1111130 1141, 100 knOw Na sante W b. via and *mace!. 8.11 p1011110111 01 laws and Olibirsneet governing 11111
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rel-lil
Was of work will be conifEled with whedwr aCtelftad Resin 81 nob 1111 granting of a in/MO 0013 not [Valuate
10 SIIII aitthwity to vIdala of Cen,AI No oftWifloN of any ogler Nato ro Weal law 110.001140 cenl131ICbtOR Or 1111
, !FerlOnlionte tif tenstmoston. ,
DATE SIGNATURE
Plumbi:.; --
10
.01
SPECIAL OUNIOYALS
DE PT. RECO.
SPECIAL CONDITIONS,
Rim 01.1C1
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j
I4..14.41,
SEPA
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Mobile Fifrf•
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7, 00
TOTAL $,..._—
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