1980, 08-29 Permit: 80-8362 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
IN S E W
SET BACKS
TYPE OF WORK TT
FINAL INSPECTION: %Pili -,/c)
DATE
REMARKS:
��,.-al / 4 % '/2i
itit
et Au NUMnen
APPLIGATIOMIPFRNIT
OPOKANC GOUNTT — OUIWINU CODES DEPARTMENT
NORTH Ill la PPMS011 1 MAK ANE leAlluillOTON MOM / 1500101.»,1.
APPLICANT! COMPLETE NUMBERED SPACES— PRESS HARD TO MAKE 2 COPIES
Aa/WORE../ W440
OMelP
1 Aoo Jai!FG ,i l �.E
yip r. GS
/e..,.r-b1-.G
• 4 AL/L✓ A4440/
i. ti, AOOFetP
ez:tfr 4( .dr►G
Dyr
E 000501
LEGAL DESCRIPTION — SEE ATTACUED
gtri-.91¢OY
v
�4zol
OHONE
PARCEL NIRAeth a
AOt111 Sal 51x11. M FM
volt awtn
0oT.F rGon
Sheol P.rma
lcm e4W110.11m
LIP
t'lZo4,
PNON[
TTP• Cann
Ew0 0
Ores 0110 00001.
a11nn 15ul1dln Aro. In E. FL
:COMM UDC PITO
LIP
T6
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UMW !NO
A,.. 01DeaL Plnlrhm
mea. Arm
loom
414n.. 5.0.0.1
TVPS
7. or
* *OAK
NM' 0 ALT. 0 AO'N. 0 TPL 0 MVL
mix M.a. .115 Apo.. 0 M O. 0 POOL 0 otw.A
N0. Room.
o. 01 DerelllTs.
VALU e NOxK /t
& iois lllt+tPM
VALVA eWAC[
MZQ IIITa[l
015010ICAT1
01 EXEMPTION
[num, 0111. LOollen IArm>
Medd.
Nw Rm
ELIE C
...INA ttw[F
m NIP
PyPIN OPDM& 0
...[ CCD5
I Minh,/ 15,111, that 1 had. road and examined rills eppinebon anti hive read the 7001 ICE" Provisions Included
O mid know lila mote to be true and 0001501. All provll00, of I.W.a
s and oldlr, gdverning Nis
type elnwork will be complied with whorl., Specified heroin or nal. The granting of a 95.01, Lion not presume
to give molmrIty to •101,15 or cancel the p,WNlon 01 env 0051 smut ul local law lO9lIftlnO construction or IND
perlatnerlo. of gmatrucUDn. SEE REVERSE EIDE POR REQUIRED INSPECTIONS
Cr�Jt
DATE Or APPLICATION fir IIUNATUPE Of APPLICANj(1 .PA611 .CL/z(freP
MCIAL & MODAIJ
NAME OAT[
R.nn
d1 PIN M.nh
OSCIAL CONDITION&
fEE8 COLLECTED
[bn4 [ 3 "
[ulkilm
Plumblllo
01.n Cheek
SEPA
Mabee Home
0rhw 109.10,1
TOTAL E /If
OMIT NUNEE•
04- .1600
1.1 00 6
•18005
•aoo a
8J6It
08+11-s0!'
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