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1984, 05-02 Permit: 87000245 Pool
SIGNATURE OF APPLI OWNER OR AZENT �`+ DATE CATION Vzhi JOB ADDRESS: SEG. *: DATE: PROJ*: '2) i WpriVt04.) 00245 :: ±- - 4svwE NER: DRE : CITY: g_..'/1/��/� ST: ZIP: 7 APPLICANT: /S, -J C-0KM- INC) CONTRACTO : A --I coNSi- iG ADDRESS: 1�I C J%iJ goix-I4f.w A-; sU1 TE.. C IT ST: ZIP: 5("6I.4k (AA , 2-,16 PH: LICENSE*: :187 -40673 At C4tQi, 1l,iC ARCH/ENGINEER: ADDRESS: CITY: ST: ZIP: PARCEL*: CENSUS TR: INSPECTOR: 2 3Y(3-o2l L PLAT*: LOT& BLOCK FINAL L26z.- PLAT NAME: VPA ZONE*: ZO E FSB 5-1 5-2 RSB MOD A6Ifti - Ex2 .'--� 31 USE OF PERMIT: FEES: �� .PAID BY: CA CK{ CG NC 1(cl )( 3 a ' M,i"�atit, etc'( - O .V/ JOB ADDRESS: e R� � { COUNTER APP: PLANS EXAM: O 4'st 7 rz, • 0 0 U w 0 U- w 0 05 =�02 -8 4 392,Oz *102100