1980, 12-19 Permit: 80B-4996 Inspect3/2 //7 ejt /C./. if\v'
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APPLICANT COMPLETE NUMBERED SPACES— PRESS HARD TO MAKE 3 COPIES
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LEGAL DESCRIPTION - SEE ATTACHED
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performanceperformanceperformanceof c nvmceon IES RE REVERSE'SIDE FOR REQUIRED INSPECTIONS O.in
DATE _1a _ Fc= Eo LION TWIT O APP[CONTC---
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SPECIAL APPROVALS SPECIALCONOn1ON4
repot DATE
"APPROACH PERMIT REWIRED"
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TOTAL E 4°2' 9°
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