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Home My WebLink AboutOccupancy Correspondence 1996-3-12 -"'...- '. e . \ OCCUPANCY INSPECTION APPLICATION CITY OF SPRINGFIELD BUI~ING DIVISION .============-============~==="=======================-=====---====--(;FlP~=== DATE:;t14rc~ IJ.) /19b ,. , JOB NUMBER: '/ ' 33(;:; ADDRESS Of IN~r~qTIQN.; t/Ot/.S Ccmmefc/al Aile. APPLICANT: O~NER: Ea..S1 3/~ ganh"11 ciurci, , ,', '" .,-, O~NER' S ~ODRE~?;t/oc.f.Z) q,rnmerc/a ( At/ e ~ UtA v" cI y:,q ..std I t. V I" I . t,RO,i:) E' Cr, 7t/i'~5g1J PHONE NUMBER: 7tb s~Y.2 . , APPLICANT'S ADDRE~S; FOR ACCESS TO f~OPERTY ~ T~~EP~ON~ NUMBER: (;Jr 7c.(t/-~O 73 . ' , . ======~~?=F~9~~9~~~=~~~~fFF~~~~F~~=?~=~F~=~~F~r~~~-~~=~~====~=~~=~=======~====~= . '. fROPOS~g lJ~~i .h!l .r!t.::.ir~ M.a.S.~, pft ~,~, ..fff.I1"t,~a// w~t( ,f:dr.Jt?en ,o,!r 6q/jj~5 i:y /a:s~~(/ ~/td&. ,an/e4"/f..~or5 QI- e~J,el1~ "j. 'f'k (J()r..J eJ,fJen h()./I Wt1.y. . A$3~.OO' INf;!PEC'l'l;ON r'~E IS REQUIRED A!r THET~ME OF APPLICATioN '-, ',' ---.---- THIS APPLICATION FORM MUST BE SIGNEO BY THE OWNER OF THE PROPERTY TO BE I~Vt? SIGNATURE OF PR~~ OWNER -~--------~-~--~~~~~~~~~~~~~--~~~~----------~---~--~----~--------~--------~----~ FQi pFFIg~ us.~ O~T -------- ----------------------------------,--,----~-,----------------------r;------ D^TE F^~~,3~j ~j:j~. ..... ... ... ~QE~PT'.~V~BER.d 'J6&J.. .'.. . -.... :. .' ,',' DATE OFINS~~Q~tP.Nj " ' .. ,.,_ .'. 4 ~ ~.. ... ..,l'_. . ",,' .,-..f"" _. -'~' :'_ ',,,' .. ",... OAT I;: OF RE;PORT: DATE OF CERT!FIGAT~ Qf gQM~~~ANQ~1 COMMENTS: .... ~'.' .:'; .... .. ... ..... ~ '.J .... ....,_. " .. . ....-. , 'to' . . ,. . , . . ..... ',,'.. ,., '."'. ro'.', ..,. ; ~'". '. , . . ....; .:- ". ....t..... ',.. . '. " ,. . ~ .-- -, . '.~, .~.~ ....,. - , "":~ , "..'",-' ~'.. '",..; r.-, ~ ,...), . '-t ,... ..... " ",~ ...... '0.,., . .' . <,. " "..- " . " .~' : .' " :.....:: 'Zi J.~"f.~:~:' '" .......