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Permit Miscellaneous 1983-10-17 (2)
~ r 'I 11 , '>, 11'( I.ANF rOUNTY DrF'1 LNV MC,T l'rrTIF'T ~ 185703 DAn. 101783 oF-PI fr:ANT Sr:H<"ICHNFF:, s rEF-HEN ADDR 2849 CHArE<"IU PI. <"I ('!: , SI.'R LNGFIEI.D, OR[ 11 ~ 1 '/0~~:):n:203400 sunD J v 1.0 I' ill K NFW BI DG TYPE USF R BD!'~MS 0 IJNIlS 001 SrORTE'S: ~BI DGS 001 PHONE 747 011'5 I , OWN~R NMF oDDk CODF AppI. NO Ar:rrON DEseRfPI LON SQ rr UNIT COST VALIJAIION f-~E DAYS HI" ,(' r<p " 'B~' :F' F'1\ll LC 105783 r'ADV PI. NO. F[XIUF:FS 11TH "lJr~ r'rK : \ C(~TG 'LOU TAKEN <"IPP f~A 1<Y RL H VAl,'] ANCE NO. CONNf CT(JI~S MFCHANIf'<"II. 1'1.[ ,HATE SURCHARGE I"L AN CHr".CK I' F E F !" SDS ,\ L pCK r- ST. CfH1~'1 F T I ON DA TF 1'5.00 eACH - 4% 0% .OTH IS,\ 1 TOTAL FEF:** '>, 110,00 (, 110,00 CK '11