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1986, 10-14 Permit App: 00013913 Duplex
DEPARTMENTAL REVIEW I certify that I have examined this application and state that the information contained in it and submitted by me or my agent to compile said application is tr : and correct. 1,0," Signature / Date /D////da Approved Cond. Approval Hold Environmental Health Application # `♦ Z C `mc r— 1 n_ K tO _ I(o-SIc W. 1101 College Room 200 .4... 1' AVIr1411 itee., , / / JJ Planning/Zoning N. 721 Jefferson Engineers :— �•u �i� �i. /� � N. 811 �' / . �, 40 r - of id 4 effers. _ • . 1 L /c_. . Utilities N. 811 Jefferson I Plan Review/Fire Prevention N. 811 Jefferson Other (SEPA/Critical Material/etc.) Fast Track/Special Inspection Information Project Representative Phone Address I certify that I have examined this application and state that the information contained in it and submitted by me or my agent to compile said application is tr : and correct. 1,0," Signature / Date /D////da N. QAsec /y/S Dv PL E7 'aLTEA/44ZE " H a 1 �•a $ ..11111111•10. voimmom 1111.4411 Pio/iv/ ,ev.00'e. + �•t 3 GA`'' /4' DRN /a' X 30 Fid/id Fro A +1= tlt 4PRori 2 A r 54.o -3634_ 3D ds horn r ,Utk. /, 7a4WErs ADO. �. gat- etAc.v/N Lor / �&►GK . / ) To w/iEe.S 4.D°. 8©7-- C44v/N - --Sr - - Z4'40 Go r LJ.'