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1980, 12-17 Permit: 80B-4518 Inspect w�� T INSPECTION RECORD AD4 ESS DATE REMARKS /' --- 1 c` r. -/ / Cat . �L r" . c til tl el e CAA �I I .....___.... .. ".. Takeirt W-2/1i /4/5716 SPOKA • NT MINE " .. 416.14511C . : NORTN MI JECCEnseN t SPDI<ANE.kuattutmtrrom oo.ao/tees.ose-so76 ,11•11110111Mi 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 : . ' , -•. ., Ah 7 • 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* & — ...-• 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 Atc 011,5i2SL i TN of IXIMPTIOIN - RN'S.'I We. 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 .-....-.-- IC 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 •Mr.,. 10 °IV-IC."41 errn4A Ail4 Niue ISpeeofylTOTAL 112 P.27-4-L,C' 1Rrairailk h._ - • • 111