HomeMy WebLinkAboutOccupancy Correspondence 1993-9-9
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OCCUPANCY INSPECTION APPLICATION
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CITY OF SPRINGFIELD
BUILDING DIVISION
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JOB NUMBER: --93 Ji.fQ!i
DATE:
ADDRESS OF INSPECTION: 39<.50 ;:;;;T/-//Z/;tJd:-;--/Ze:~r
OIlNER: ~ LC.ol...1\..-1 .~ A n-s/..,S To PHONE NUMBER:
OIlNER'S ADDRESS: /7"B7" C#~ eG. ~,c'-l?, O/i.. 97<-/77
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APPLICANT:
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APPLICANT'S ADDRESS:
FOR ACCESS TO PROPERTY -'TELEPHONE NUMBER:
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PROPOSED USE:
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A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
ATION ORM MUST BE SIGNED BY THE OIlNER OF THE PROPERTY TO BE
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FOR OFFICE USE ONLY
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DATE PAID:' qll~\ 0,'>
RECEIPT NUMBER: -Jb. IO),l-fS
DATE OF INSPECTION:
DATE OF REPORT:
.DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
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