1981, 06-01 Permit: 81A-5336 Inspect0
9.
ADD:'ESS
DATE
INSPECTION RECORD
y
6 J
Corkaa-
`"
I+�nf` ! APPLICATION/PERMIT —
- .Cl`•'
r SPOIGNE COUNTY — BUILDING CODES DEPARTMENT
.. rop.H Eli e° vMel .len.
a
APPLICANTO COMPLETE NUMBERED SPACES / PRESS IIA RD TO M AKE 3 COPIES
LOT
Nr
A ,pIY1P
e Sch !rck
tYa r'
Is ot.IQN "...mu
ul,
1AVSN
nit,•
L
ye'4xaarn -'�•
'e0'F�RI[�n'f5
rt!
r*Tt?j . D.ox
rum
', whereby certify that 1 hove read enOWISMIpd thR 0pllcnlon and have rear] the NOTICE 1 mnwded
hr]y'Md know the mne to La true end rorrtCL All provision, of law and mdmr.tmnap prmny m,I
I'IIyR of won,MiLM omphard NIN wMWr spiraled herein or not The prantn of a permit Jon not Orn0,e
to eve aUSOTIIV IO Roles Or m,MINe proyl•ION of any Other stare or (Waal law raµlerwe 0oml1ppnon re In.
.perl�gmuq atb
E wctlod8 1 RFVERFB SIDE FOR REQUIRED INSPECTION
A' GATE OTR IrJ
A -....11w -•.r .•
S/19/ft/*r' w nonAruAe n..e.l r..n. %l�G �1/i1/�Yi�'2
KECATE
4i4-M/ri9'
`f1�Ofr
r'a%wwP
m•cinOo
r
LEGAL DESCRIPTION — SE
ATTACHED
CERTIFICATE
el 101Mrf101
.er• r0710w6HE 01 w!
IN me
Omer 1.00000
TOTAL i ,Utt
1"tI#NM534.J o t'
L2• •4000
• GOO G
• 44000
5•ODQ i
p
00-01!01
e 64%9',"
'�v W •F%.ur
J