HomeMy WebLinkAboutOccupancy Correspondence 1992-4-13
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OCCUPANCY INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
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;ATE: Aor I~ \qq1--
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ADDRESS OF INSPECTION:
JOB NUMBER:
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Ol/NER: C~(l.r\P \ Ln.1fHI'\ J)v,
Ol/NER'S ADDRESS: ~.J, 66>" ID1l,-( ~ Of q"N~1
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PHONE NUMBER:
APPLICANT: h()V~ tv/AY'I; J'wM
APPLICANT'S ADDRESS: LA\I) kol/(Ac Dr. ~1.f~ dr. q 7"0!.f
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: t,ff -a/tV fq.-oo"I./
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. PROPOSED USE:
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A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
'THIS APPLICATION FORM MUST BE SIGNED BY THE Ol/NER OF THE PROPERTY TO BE
INSPECTED, - . .
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FOR OFFICE USE ONLY
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DATE PAID:
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RECEIPT NUMBER: 4307
DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
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