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1978, 04-05 Permit: 80-6490 Inspect0 c• IT Fiona 'i r•u•OEA APPLICANT COMPLETE NUMnrrrb SPACES — pnros VAPID TO MAKE 3 COPIES LEGAL DESCRIPTION - SEE ATTACHED f __ APPLICATION/PERMIT----- • Sr,...en.a.. ,ran•xLLDING ES OEPAB7MENT ,"r---7—,„;„,,,.„ _ POKANB COUNTY -�BUI COD ...Lttalutt:,bo .loa.r,.. a.1e s.�32K'ISIDP et• a 4 • : VlJ 1 OQKHRRp /3S?l%/6 ADDRESS 6./0#4 Matr4orne.eCONTRACTORy gtE s.ogre 9qm! 9nwero NEP- S . ADDRESS PHONE NnCEL NUMBER'S nr ..re 9t m r 7MirO Amies G3MEEwnuxr /nn (7s reel 51z• or pare& 'ZINC&LTv.U( ZIP Oyes Otto DPaoe PHONE /132 ZIP Main F1001 32 Amer F10011 Storage _ cxnxaE on men nem T"E5&o OALT, CI Kays Onro OrnE '. wan. O .Lo o PL1:.E O MECO ❑ MI -1 1:1000L NO epos /252 rm n CERTIFICATE of EXEMPTION D.,Cp lee WORK fLkg.eenes 9. T mlun •l ' / al Lenten MAK WATER 4 SEWER USE COOE Ism of work wlll b complied te esr IOpxv 0111 1010,1 cel lEe 010 1I 101 ILlni111101un ar the gllmmellce 01 mruuu 115 En REVERSE SIDE FOR REOUIINLU INSRE 011065 • 3o-/gle 0,.c •PPRnumc 1-S F110, 1rfn111 ... IAL 71-z/c5 CONDITIONS Atbu...•••_ • 0,i flMrT I�1 • PEES COLLECTED S Buiielln• *SW_ PI C1 E SEPA MEIl 11 Omn mow TOTAE SECM _ B€EtRR-M—IITT IMMMO, 11 1 P[• ,•Ie001,4 • 11100 F • 1 ROOK Eu00 B 00P72 00-30-80 k 65'!9 *Art -II ulu PNalr JA • 0 OWNER INSPECTION RECORD CONTRACTOR LOCATION NSE W SET BACKS TYPE OF WORK FINAL INSPECTION: DATE REMARKS: 7/3/7 /eo GGf"-'C _S o)7 JP f ,64 7 ,e4 yes c4ce'-72//)1/2,711.17e1/4.,PsE47.07)7 e 77-ert tam, 1