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1991, 04-01 Permit App: 91001508 SewerJOB ADDRESS: S I1 19 Y n IC.1JtO SUBDIVISION: LOT: BLOCK: OWNER: (Y\ rit-; m ADDRESS: S I1 I LUCN1as\el PHONE:/ 5-0CI) 9a6,--,oh7 CONTRACTOR: PHONE: ctb _70( ADDRESS: LICENSE #: INSPECTION DATE: TYPE OF OCCUPANCY: (20S;(1,54.:4)