HomeMy WebLinkAboutOccupancy Correspondence 1994-12-16
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OCCUPANCY INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
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ADDRESS OF INSPECTION: '-/ I &., <-t :I CL <; f e v e.-J
O\INER: Un e dCt.d s '
OIlNER'S ADDRESS: ~ l4-y\+I'e...
PHONE NUMBER:
APPLICANT: i-Io -e d.. od S.
APPLICANT'S ADDRESS: S~
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: :1'ot,JV Sk',Ht':Y.N 4>('<./-20 II
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PROPOSED USE: '7/{)i:.f'4-&-E ~,6 R (I ol1/t..PLf~ l3u/t.-CJII'/c..
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A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE O\INER OF THE PROPERTY TO BE
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'S)GNATURE OF PROPERTY OIlNER
FOR OFFICE USE ONLY
DATE PAID:
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RECEIPT NUl-iBER:
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DATE OF INSPECTION:
DATE OF CERTIFICATE OF COMPLIANCE:
DATE OF REPORT:
COMMENTS:
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