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Home My WebLink AboutOccupancy Correspondence 1995-3-7 V~'$ . '..,."., . . OCCUPANCY INSPECTION APPLICATION CITY OF SPRINGFIELD BUILDING DIVISION ._~._u_ u.. ..d.. _. _._. '.__ __ ,______________. _ ..____ __ ,__ _._u__. ...__________________ ________ ..----------. -.---,,---------------------------. -- - -.----- ..---.---------------------- Di,TE: -~~C~ ?_L~:!!':5' I\DDRESS OF ; NSPECTIQlo:: ?""3~ G4~~~ n'C;1. ";l':l-t'~ '2.-.::> O\.lNER: j3e-C##/P-:Y cG.::-~c::::'i84f'~4. PIlONE NUI1BER;7--?~' 2~r IJIINER'S ADDRESS: _?2-~h~ .c9;d'-"-;k:~~Z'1---.,,.- APPLICANT: --;;~&d2'l-~ _?~/-'~<:': . _ / S:s-.. C '- ~.,.- APPLICANT'S i,DDRESS: _B~ 2. ~~L?J!'//--;:::"- ~rIt-r~-"22.Y~ FOR ACCESS TO PROPERTY - TELEPHONE NUl-lEER: _ _:;22?' "~~ -'j'I~t-;. ~:"S '.~~~~~~~~=~" ==~=o,~~====~~~ ~~,_~=~~~~~= ~=~~'" . ~o__~~~ ~~~~~i'?d5h=====~===== P!WPOSED USE: _&~~ C:::::-$='~~~-~r ~.... JCB NUI-iBER: _9->~:<~ II $35.00 INSPECTIO:, FEE IS [mOU;.REIJ AT TliE TIiiE OF APPLICATION THIS APPL,ICn, \ FvO~R'IJ'1 ~ i'IIIST BE SIGNED B',' THE O\lNER OF TilE PROPERTY TO BE pJr~~' f'D ~ ~lt,~iI'~O~E.UI'-I:[{IJP~lnTO\I~-~ . " FOR OFFICE USE OilLY DATE PAID: "3 ..... ? '-=7S- RECll'T NU~IBER: _('t:::._-:2:.'T./ ~ OATS OF REPORT: DATE OF INSPECTION; DATE OF CERTIFICATE OF C01-lPLlj,NCE: COHl1 ENT S :