1981, 02-18 Permit: 81A-0976 Inspect0
1
J
ADDRESS
TTSPDCFION RECORD
�pp
DAA REMARKS
fame; _Ad, a4 _k
k- PO -/6
0
r
BP tl ' ANTMENT
OP TN anre•renaQN , SPOK E.W, (0001 ICA OM
q q
APPLICANT. COMPLETE NUMBEREDBESPACES- P ESS HARD TO MAKE 3 COPIES
j.N �=1- LLICIL.12 /QOp LEGAL DESCRIPTION -SEE ATTACHED
cm"L`f-fI ZN�'vKlly�N <-Lkez/Isl�.1 I�.0 Pn1LELNumeex ozr;41-o-o-
> WIWIhNII 6LLId('i F-0330
A0717344,7-I-JGII-�G 3TI„J,21�f'
9111
us! ir ..ElSou
co5
Sr
° ADO
DIO
a
OE OF USE PROM
IP
102- @
/wIG/yDIS
1ran ant.
171
•
TO
171
D.. �EL.D. Evr D ALT. VADm D APL o m e.
O ram 0 mec1. 0 m.N. O POOL D
TIFICATT
eI EXEMPTION
e coD
I P. I`�EI I CI C I WATER I P„ 0::p
x..1. E
that
haw. Fel and ex tuuned this alhalled,... dad have TedO the An
4 Noe are be Il. Oil reverie att RUT Dand cone, AO notaNuns
lPates Lod r Ioi]herein
upon, (Ion nui pietur,
to glee
utor,1.0or alit& the 1EaIcy
opalLIN thou aruli,inn , the Il,Ian018 REVERSE IN1PEl
QNS
DATE OF APICATI _L -24-P1_ S TOn,•.APPIIANTaJ_,�-
SPECIAL APPROVALS SPm L CONDITIONS
NAM
EFS COLLECTED
PI rig
Mach
En k
nee
111111• Ho.I.
011*, ISamllyl�
0
TOTAL t a=la•'
02• /1400
•I900 P
F47E
D1-26-81
6472
{
•