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1981, 04-13 Permit: 81A-2927 Inspect :INSPECTION RECORD ADGSS DATE REMARKS/ A7 /(4" R61-8/ 79Zila1 ese, A? /3 S/2 r S E k\ U a RilM6iA'.'...1.- - _ O Tp F Iqb /Lr\I{,C,/,�, APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES , L a'wtS_1 �'1[ 9T LEGAL DESCRIPTION—SEE ATTACHED 0 2e •220,0, y _ LOT !LI)fl(.1SU{OIRON PARCEL NUMBER/5 w2ZapcG1 2 4 1 khu..CPLLT Yw2K 17T [u:it-nom '29541-0-D4- •22004.- OWNER PHONE a 'DRUID 4 LSAV HEDLEY 97G-G5C6 A Rn9A q g. A DRm In re. 2 4 E.12124, z14T ZIP Naos aH n.riaolrta .., 4WN CONTRACTORPHONE SU.of Parcel i.e. RNINut on -'014'81r,, gWE 1COt•0 tart. tEaCx43ui1PaWE• s G 4 7Q' . 'r ADDRESS ZIP .mrIan� SnSARKJJOv. Oo U Rem.. DESIGNER PHONE °'m �il7�gI .Ar In Se et ain 5' ADDRESS ZIP 1^°r NP FIe . ...Area storage ` CHANGE OF USE PROM TO ',,Atrea of Deak. elnIM.e Basement Unfln,Elegem*. a : No I £p44-IIIE, — �^E ItireEn, ❑ALT. OB AWN. ❑RPL. •0 MVE. 1 N. e.Room I et owes.. 7, WORK V'mLD. ❑nLMS. O DECO. O M,H. 0 POOL 0 OTHER CERTIFICATE Bl'd. •a.,a. r.,A.ed. - et EXEMPTION 4.s CEICISME WORK team.om. Loudon IAfYI 8j. 'Dial FEES COLLECTED ALUATION BOUNC{ RM ELECTRIC WATER e�SEWER OwnerMlp VW COOS UTILITIES A..CPTIG Pumc Cremate 0 115.1 $ , .0. 1 hereto,eertlr Nat J Saes Teed and aeamined this application 11101 have read the NOr I'1 ro Sons included ,g4� *• 1, ' MI reverse side,afld PROW the same to he true and correct All p ovos uns of laws APO I aI cos governing this Build 4/S,E'Q type of work will be compiled with whether specified herein or not The granting of parr.,does not presume . to give authority to violate or cel the provisions of any other stare or local law'egolla q construction or tiro perftcmetto of eorlatructlon SEE REVERSE SIDE FOR REOUIRED•INSPECTIONS Pluseelna ra DATE OF oPPLICATI(RNJ+ +,JIU/ SIGNATURE OF uPPLICANT. 1' PergeeiCidefr M.S.IY .j *4' M ,.1jio AMMOyAU 4 1i RIAL CONDITIONSI Plan Check , a.+II' NAME GATE PM'ro1M`eeAf/L/fA 3/5/. TEPA dn•,:{ 'TIM Memel] Mobilo Hama �u F8 lo.[MIIWr Omer(Specify) '. �?A TOTAL E sEwen..r— y 6ite'6.4WA.r 3Va,Io. WOOS Mnrpwr�.� .•_, __.__ 4