1981, 03-26 Permit: 81A-31 Inspect( INSPECTION RECORD
ADDRIS
17r1 /mg
]'�r;T4;r;•Rw�': ;..`2.ro ... MEM'
ORAxe reasxlxaiory eeEw a nwl •euere
APPLICANT: COMPLETE NUMBERED SPACES -
ADDRIESS
t(n'; SI(Ii
9. 3qP 3 0(1i *ark
�tA/Id 2,,a° ad -4
D rfD x� '7t 4, Q. WE/ 70.2.
e / :Mit SA. rZts' — kG .w.Aate
—riteno P
PRESS HARD TO MAKE 3 COPIES
zre/4.
SIP
PtiONZ
LEGAL DESCRIPTION - SEE ATTACHED
PAR"`""'"is /9662 - /863
for 3 SLR" -3
APPLE VAu SY ESTA'r6 AS. A0O
4A'...Ix ,n , — L.,
'17;;Y:>371114242,
17o Yx l/3Tg . .Pn.r is
o.e, DN, on„..
AODM®
4
aimed of rallPROM
yr"p P'
ri4.ccy n00
Iawnta,. c..w AMP �.••
Mem.
M700
we qx.. DALT. ADA. x. ox 11.
T.
Nat/
(ILO. s. o re0 MEw m..t.. o root.
//r pit/ "CV tattitotif
fl W Tr ;IT wATER
❑ OTHER
CERTIFICATE
PP EXEFIPTION
Kw. m, fmrlEDDo 1
CloMonIF
AMORO ;FLAP q
IMOAN cony the l MPe re and en mooed dimeppllanIu11 sod Fe. read Ne 'NOTICIl
n hided
CO line Oda, and know the em. to M Clue and correct, All pmvi,lone of Ott rid ,Fdulance 1{OWNS° IN,
PePe FAO( will M M ulNee v L The r e it does
oe POI
parse
Flreteuthorlty 10 ecl also scot th wheat.;
of heroin
°Ne. nett or mem le •rWouiu e n meol om
ptomunce of construction. SEE REVERSE SIDE FOR REQUIRED INOPECTII
ATEAPPLICANT
O�Nj5' /���
D APPLICATION a' 8/ ElnnAi UNE Of APPLICANT_12”)
V ^,_
YEdM. APPROVALS SPECIAL CONOITION4
rum( DALE
rfr
Flit COLLECTED
nql
Plumb g
Mich
0
hee
ERA
O
MENI x ESQ
dMrlSpethI—
TOTAL Yy.TP�O
0T• •5000
•5000 R
• 500015
•000 8
A
30f
01-05-5i
A 6479.