1983, 12-27 Permit: 83A-8975 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WCAK
NS E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
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of comtroc:mn.SEE REVERSE SIDE fOR REQUIRED INSPECTIONS nurol.p
546NA'LOW LW �� /�rN APPLICATION
OWNER OR AGENT �\LN2L T c c.. DATE 0.(a/S') L1.ct. �0• /'
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