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Special Inspection Application 1984-7-25
. ~ ' ,4,'A ~ --- ,~ ->, r,Lt lJJy ,. jJV,' (0 ~06, ' ?cfo?Z4~ \- ADDRESS ~~:~~~~':o~qQ~TESYrNSPECTION ,APPLICA'f.IO~ ~ ~III cQ~: h, , (RENTER REQUEST) r:I-- , a..Yv'-('1. J:I.J f .': ,( \ \ , fs hJ t. p " \ wOv- ADDRESS OF INSPECTION ~,8"2 d'./~:J'...pr-e {Iu~ 5" ~f' fU2--~ ~ . ~ J 5M -h& JJ~~.; RENTER ~(lc.K\~ SPJi I A PHONE NO.-=, ~J( =Ii 7'1i.'-$D~ SIGNATURE OF OCCUPANT (RENTER) nN./u.L 0rYLixJ a CL. S 0 FOR ACCESS TO PROPERTY - TELEPHO;;UUM~ER ~cf~ 7i1 7 .t'-s:r/ I I I I . \ .\ \.... CITY OF SPRINGFIELD " .t'. " .,- . "' . "," DATE '7 ~c:;'J 34J ' / ;; OWNER ' ~ \<In Y\ PHONE. NO. o TYPE OF DWELLING: SINGLE FAMILY D DUPLEX 0 MULTIPLE ~ BRIE~ DIS~~TION 'OF MAJOR PROBLEMS: a:17~~~.-f~ ~ _7k- M -L ~ ~~ . ~/ '?- T &-/h'/frXJ/11 $lll/\ -r 7Otr, ftk -.J.'Irt711A~11 _W tt:>t). '/kw ~ Jek:s. />, ~ 4A?/,,!;' L '/~R"'" 7.t/,4~ ~ . rl"2ttn /r <<'/1/ ddl /?d7",4 IJ,"n ?"__ . orT ~-Ic4'/?~/ /Ir~t~~ 'JJ.. . .' . :..,~ c;tHfiLI~ nP.";;:X;;' O-Ilet ~enT n"~rt.1.f 110,';:iJ(tttATlII ~j hf:: dr4"~7i.l ~Hi:p ~(' Je~CJs.;'Jijr A-lId ;.L ~/;j jft7/P- t-4? ,~./ d~/ld II / ~ klfi- as.Jrf2d ~m .5 i;-:nA # ~k /hL:. ~k S <:J- ?Xc 4~- ~ paffl' -~,ffE u- 70/~r a~J ;;e'ha:5'n~"Th,W7.,C 9/JrJl?JIJ4' c:i/er//., dAdt7Jso , . -- ) / . ..;.L M///?d a/l~~ k .~~ _~~q; ~./~0'/1 ~ Air C7h/J~ /;tr edr ~ J7c):5J& a/7~ Pe .-4", STed 7) ~~ ./?OI~d ~ ':;::. 4dve d 7f%fT &1-'0 >>",k ~J^;& 8d Ii"'?/?? ~/1k .....'cM7S ;;.rkl'zz,<<;'c. ~ -~~~~~~:~~~'!:~~-~~=~~~~~~~:~k~~~#~ _~______ . Date of Inspection , Courtesy Letter Sent Notice and Order Issued To Owner Date For Compliance Compliance Obtained - Date 06 b -6 2-2-i) ds- -02.--()r ~ p-n '-JJhL a in nl r~ rOohJ ~ . U (if ~'--fh--e-- U; I!' n') J.:s (}JJ 6 '-d-' +6 /luJ ~ (j p~(tJ 0 /1 !+ISO ~. Srnb/{...e.- cUarn; dlJ-eS)1(~ 0ore. , , I . . ~ . t r , ,- . ~ . . I ' , ~,,-; '/. - .,...- , ......... .. ' ,i .. " , '''\> '. ',' ,,' 0-:;- - , l) .....:, "...... ~~~ .- , ~ ~ f \, ".., ~ " '1 " '- ( -:'. ~,\, --td ~,:..."" , ;. ~~ \~ ./ . \; . "Q .... r-~. ~~ .A~--:-' ~~-..~.