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1984, 05-03 Permit: 00000605 Residence SIGNATURE OF- APPLICATION OWNER OR'AGENT j r �� DATE 3A Y JOB AD ESS: SEQ. *: DATE: PROJ*: . cza�4- 34T" Av COO 3/84 ocxao5 OWNER 1ZC�13�tz.T C14-IM�B ADDRESS: CITY: ST: ZIP: ?C, NcZl-C. APPLICANT: CONTRACTOR: M`f-i CoNS-t't)L-Lc.,T La ADDRESS: S c MICA A*4Q.•+c i7+z_. CITY: ST: ZIP: (� �Y5►J 6 etC(Z-Y PH: LICENSE*: 5dq 44:422 MTf�tGc IMQ ARCH/ENGINEER: ADDRESS: CITY: ST: ZIP: PARCEL*: CENSUS TR: INSPECTOR: 334- PLAY,: LOT&BLOCK FINAL LZ 35.33 PLAT NAME: DiLeovv4C 3° AopiTtON ZONE*: ZONE FSB 5-I S-2 IR SE MOD €.: crL 36) Ito 15 7£'t 6 USE OF PERMIT: FEES: PAID BY: CA C CG NC JOB ADDRESS: RE 1 �� A ) e COUNTER APP: PLANS EXAM: DATE/yes, yE501 I C ✓ ra74 MAW.) ( c 3364 364 Iwo ri oC72- �t G AGA- "12)N—s . GA- 0 0 w 0 U- LL 0 y•...4 ...:. 05 -0p3 -84 396, 95 * 354'00 - • IN. . ' 7 7. - 11 i • 78' 1 d I I f ,i_ ,-5-1----N \ ;' 1 (V\ —Z'•`✓ ELE) . . / DR\u E �g�Fid _f 9' 1'� 7 Q nJ T _____ _V _ �'� �\N r mil" I