1980, 12-17 Permit: 80B-4518 Inspect w��
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INSPECTION RECORD
AD4 ESS
DATE REMARKS
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W-2/1i /4/5716
SPOKA • NT MINE "
.. 416.14511C .
: NORTN MI JECCEnseN t SPDI<ANE.kuattutmtrrom oo.ao/tees.ose-so76
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APPLICANT COMPLETE NUMBERED SPACES PREl7i 1 AO TO MAK F 3 Cori Es
'X.aknowESS _.,• 1 • lje-•-
..S..•.. alia-Mrta-t-affn.ltS LEGAL DESCRIPTION-SEE ATTACHED I,3 0013
• 1 0 0 0 lt,
LUT "?1,111..1d-LIAIVISION PARE..NUMBER'S
Z G Z. Row.,0EACIS. ., lia5, 711, AU, •31 0 00 8
['stamen PVIONE
3. Als.101011-1a.) Pfl.-M122t. as...,-r. .924,-trzi 32$45-rP.C. •0 0 0 P
415151.55 E.P ,....tkoal 3at MVO in eggi .
il 0 U 7:
-Mcax 14.toz ---ic c cs4 ..-k04, 'South 4.O' 1 liVn.n.)Zill la'
CONTRACTOR -NONE 5...,Oa.... 1 7.-0 1-80
1-48.r445 : .
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• ADDRESS .N , c„„„. 000!„..n7
SmInhilrOu
y CalM14
Ilk Y ni -12.- Dv.. Duo On.....
EluiiaIng Arog In 5g.Ft.
OSSIONER 1.0000
1438".aS li St)
ADDRESS T01.j10 Main Clow, Tu....,Floors tla ago Aro. 00000 go
—
COOMIOIL Of USG FROM TO *0 101 beck. FIgIgligel on,..., All,,.!Woman*
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I toe)Co
, d A.., 0,,....r. a A, . 0 AAL 0.„. el%Settl. N6,110080 Ne.leares No.I OwellInes
7. or ... a OTHER
v.v.', au aucs. ED RAM. 0 MR•sik 0 M. CI POOL GINTIPICATII
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TN of IXIMPTIOIN
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OSENIS .... -"".-- IL---.-9Atefir4rrr'' — 1Wu=Lirmot,e
kir6Ait-5c WAPrSER owtwoi' MCODS
UT1-1,111 Septic PIglig D.IIVIO• 1;
go.d.
tri
Single II-....--,....
I booby Certify that I have rnod eini examined ft., 6..itioo..al h.,.. read the NUT it.1 . 1 II Imluded
410(PII ravyr.NEN,and know the laRle,o he trot and t. act All,110,,,,,,,,,{of jd.,.1,11i••' • ,..,goal,,,ng thi,.
WO!LO work will he complied won whether iliac had rem ol,,., I. „,,,,1„,„, „,,,,,dops 001 PrgS1,10 U "
00 give pothonty to violate ot cancel the Dray isinn, I Any othm,hd. tt,,.....,d, h, t. t.t..t,ott ni,,,•
pittatMARMI of construction.SEE REVERSE SIDE FOR REQUIRED INSPE tli!NS Numbing .-....-.--
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DATE OF APPLICATION rt-1.-En_ DNA I u1-1,,,Aopi ICA 7 .___...!___...e Mee, ..... ..
SPICIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE LIL.F.t.nbel col,.ra4.1 Plan Mack
,tni•n,,,,nii . 1123.4S5 I/9,1,0AM s TO &
._ • f- AND s4lcEANReF-TFVP -t•-IIA
/Z72
i4N-ry D'IOLDod; ewes SEPA --..
ev-rRe.112143s/newt...Acre/Le*. FRP..At In LN., MOO.'TO
Tp1.43% A sTALLA-rIoN.
Mobile Home
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10 °IV-IC."41 errn4A Ail4 Niue ISpeeofylTOTAL 112 P.27-4-L,C'
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111