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HomeMy WebLinkAboutOccupancy Application 1996-9-26 OfJ\lCI. Of'MrN r ::.']1Vlcr:; ()rIIVrn.U~.'.'" :::5 F/PTN :;rr,,~.["r :"'(I,!'wf:l(,1.0. 01/ ~/d7"l (5-1 I) 12(j.375:J FAX (501 7) 726.3689 OCCUPANCY INSPECTION APPLICATION CITY OP Sl'JWIGFIELD BUI.LDING DIVISION ...____._.__._n.".__~o.__~~un..~.n.~_M.~_.8_____ed_~.ftD.____._..__..M......____~ DATE! Cf-,d:C -c; 6' JOB NUKBER! ADDRESS OF INSPECTION: 9yj'- 'Sba'7t }J/I 5';- OIlNEI\! /{-JI AiclrJU,7/<J. J..tc PHONE NUMBER: >Y)--;2JCl ./ OVIIER'S ADDRESS! _PtfJ,JJ./Y /.1~tJ E'1//.f.IA~ /)/1 9/~tJ2. APPLICANT! J).4 1.1 ~ ~2 J~j) APPLICANT'S ADDRESS: 9&6.,?cJ .4/A-/)~t?{/??~j.::/~t'.o 9jq-~g" FOR ACCESS TO PROPBRTY _ TELEPHONE NUMBER: &tb {}--/{.A--q/l~ :> ~15""'-~3: (f'/ ............_.._ft_...~~__..w.~~.~~~~.u._...____n__._.Da._~_u.____~___~..__...__ raOPOSBD USE, " A $35.00 INSPECrION FEE IS REQUIRED AT THE TIME OF APPLICATION .z~~~~ !!.!1~ BE SIGNED BY TilE OWNER OF TilE PROPERTY TO BE .~<~~ ------------------- -------------------------------....---------------------------- . Foa OFFICI USE ONLY -------------------------------------------------------------------------------- DATB PAID: DATE OF INSPECTION: DATE OF CERTtFICATE OF COHPLI~CE' RECEIPT NUHBBR. ,DATE OF REPORT: I . , . . . . ....... .~ .t." COHHENTS I . '. ..... ." ..... ~ . , .' .' . .....l,I.........~I'". PROPOSED FLOOR PLAN REQUIREQ ~"t TIME OF APPLlCATln 100 19 ~I~l ~~lIS lSve vvl. lVS 3l: 2t:91 96-S2-60