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1981, 03-13 Permit: 80B-4923 Inspect1 IlVSFDCTION RECORD ADDRLS DATE ,-7'3--x/ REMARKS 0,6, /,a t .k, 1--ins-1 0„..et. 64 ez,e4x_. iii--- k �f-"� 1't le I et,ieu1 f f .6-2.-k/,/kr y rr 0414441 -5114/4 ---d-A,4—k'e d-'20/ w ,),4 pD71-ers5.1..Eer4 rr9-i 6Ct a /4�arXoilz 54/ eee, J APPLICAr' T: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS • Zaf �:LocR slsolJrSICFr `�� 2. LEGAL DESCRIPTION - SEE ATTACHED -a ADDR 'AEU3.o�w.rur ,d,c.��6.aMr 77/A.�.EiL-�i.✓i 'i D UI RR ADDR•L 9z6 PARCEL uMBER/S 0964/,2 - 07G, / .NTLI{ // EAC. 5. A.d4' Fie 99.244 Actual Set II •<w North iS 3 Isoutn/J IE.R � Twat SS' PHONE q z#-9.224 ZIP 99RJl PHONE sic. mP,.«I . .ua ltlon /SOX /2.7J APAPP.aeuaku ite.Art Tem Conn. O«Vana S«Inklwed OV.. ONo ❑Rm.. V.ly.tl BulNina Area In Se. Ft. 77; 4, Zip CRAMS OF Inc FROM 0. 10* AI 444 Plain ,4L4178cio o N D.r.« T74,;per Finished MINI .nt Winn. B.amal Arita of Deck. L p• XBN N> O ALT. 0 AWN. 0 RPL WORN T K0. O PLM•. 0 MUM. 0 M.M. ❑ MVO °TOSS ❑ POOL -^` SOWf' UTILITIES OAS 1 ELECTRIC WATER l7At// /o CERTIFII TE/Merles .V d. r�t.00. Rim a. of EXEMPTION Laahon (Aral Enum. 01.1. SEWER Own.r.nlp Public °Private IK USE CODE hereby certify that 1 have reed end examined this application and have read the "NOT " provisions included On NORM side, and know the same to be nue and correc, All provisions of laws and olihn:nlc.s governing this Sgpe 1 work will be complied with whether specified herein ur not The granting 1,1 a ;J., .11,l dues not presume a authority to violate Or cancel the provisions of any other Data or local law regal n,n C1n1 tructlon or the mance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION �O :SI -$D SIGNATURE Or APPLICANT Aide_ SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE /y9 naaamin.r �u� a�apNrltst I�:.T+aa - eld.az i. 9-//-79 Elora- 4f.trea4 4.LK - OW V l�7'fy�ITID.v I.I��l.. tiSG JA/LT}o �lL'��'''^`�'^`'n IYIY.-a"� /�l(A4JED - a 1 .S nar��(x.�1♦navr�� 3 o (JAncelw- -a- PIESCOLLECi10 SinEl B uilding P lumbing Mech. Nen Check SEPA Mobile edema Oteer !Res irr�t/IYI TOTAL S a.S.3e- B PERMIT NUT.6ER--1 41/1 02* *2830 •2830 •28300 •000 4115f 11-24-80 2 6479. LQ