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HomeMy WebLinkAboutOccupancy Correspondence 1993-9-9 . .. ", OCCUPANCY INSPECTION APPLICATION q),Dcb CITY OF SPRINGFIELD BUILDING DIVISION -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ~I 4I! q:s 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 " ~ APPLICANT: ?(>f?-€,F~IJ' 1>es./ M/0 4C7C;~/hH &~I EvdtW~ 1\/1 E ///) (-d.J.eIc.) 7'7/'C" ~/18 / APPLICANT'S ADDRESS: FOR ACCESS TO PROPERTY -'TELEPHONE NUMBER: ================================================================================ PROPOSED USE: CA~/~ie.r !NlAIJVP.A:-7V(G1~6 5HO<P, 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 -------------------------------------------------------------------------------- * FOR OFFICE USE ONLY -------------------------------------------------------------------------------- DATE PAID:' qll~\ 0,'> RECEIPT NUMBER: -Jb. IO),l-fS DATE OF INSPECTION: DATE OF REPORT: .DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: . ~ - .