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1981, 12-16 Permit: 81A-2152 Inspect • INSPECTION RECORD 4 ADDRESS DAZE . REMARKS �c r.-)/ i C/S <r /:' //y/t( ac"/ -e,s .1 :-1/)1 (1 5-4'3 _c 2 ' 4 ir i BER RMIT 'LAM /L—MBA,-y0 3/6/8 t R'�Y kk r'A INA p M w,i+i.wN1YQYA tNT E2.a.: .2 RZ _ AY NORTH + $ '`I sed•A 'Na'I'ON mew/10001 sSeabve (L, // . V APPLICANT: COMPLETE NUMBERED SPACES-PRESS PARD TO MAKE 3 COPIES ` JOE ADDRESS�+ p_g �,/ 02• A500, _ 1 lolila IL ILO I 6 fgroN' LEGAL DESCRIPTION-SEE ATTACHED .50 C G ,t PARCEL • NUMMI/5�V-.4L,i_KJ'!-, 2 L1 T oft,'(4.44.t•e-..." L+1 raZ- %./,'.• /?,LX H e 50 C CIS a ti .r� 'R1,.fA Six- /G�4 /7 9-n'G-lsL,B `Kyv o vARES/c ALL. ,oCo E noon a- ZIP Actual S.e .In Pact 1 g 2 8 Y Er/4d/� ,.,.v2 ,d�Ct-�,4A4.L.. q R%-0L Nom,LG.Racks 39v lest z'1`r Iwe:k v 03=02 E1 EONT.170 �. r „cyi 1. FlJ 92/f'69�3 5o 14.a.r/cc0 common. ZeLfu,..J. a<-.. � Y 6479 FJS ,. TY,Con t. snrinavaao D .112.1 ( 1,L..Li-„LPA(. , �PLc_ ,,,, ILit) 4” ares ono ❑ _ 5. oNE PHONE �44.73.,=f,----Ion Agt gI fie' SO.Fl ADDRESS -.ZIP /r U er Floorr O.r.ge ANe Sleraq. CHANGE Of USE FROM ITD Area or Deca. Ficivv2e easement I dn.,cae.m.nt IL TyKo_Ra xa e.Stories I Ne R m. He.et Dwollnp \ 7. T. Cl,0 NEW 0 ALT. 12/AEVN. 0 RPL ❑MVS. OTHER N/ 11 1 ee I • WORK-MELD. Cl P1.ME. Cl MECH. ❑M.N. ❑POOL CERTIFICATE nee,. nee,. rveinw4. i EECRv E WORK el EXEMPTION �f N Cnum.DiR. Location IA(MI fl Qd AT UNCE 1'ff OAS LEL rC I TER" 000 No USE PEES COLLECTED (`.. /J I I T I SEWER CODE T• Si��d TIL+TIE6 Ic•O Prnan gin la $ .1 ding la hereby velhty that I have read and examined This.A111.10011 011 and have bead the"NU IICt otiw1,1,ms included side,end know the same to be true and correct.All Uluvesmbbx of law.IMO I.i,,,.nii er unuerulug this Eelldl �5r, reverseon type of work will be Complied with whndleb 401cll10d horein,JI no rho gran tiny nl b no,ti , .,, m`presume to give authority to violate or cancel the ploy of any Other state or local aYpsii b itinii�'.,„b•:n vet on or the Performance of construction,SEE REVERSE SIDE FOR REQUIRED INSPECTIO Plumbing _ f� DATE OF APPLICATION 3"e2QIU .- 1 SNAIUNL IIr API'I.I(:AN1 Mach EHCIAL APPROVAL! SPECIAL CONDITIONS: NOW DATE c P-0- PF ____S/it_ SEPA en a ---- MobileMgme ,mno•. om.r lep«Iryl •• TOTAL $ ASG t Ev.mbn.r f 1 • t