HomeMy WebLinkAboutPermit Miscellaneous 1978-12-22
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APPLICATION FOR
CITY OF SPRINGFIELD
SPECIAL VEHICLE STORAGE PERMIT
For the storage of one / CJ4 7 _;/f:L.(./;(( Ct-0
(Year) (Make)
Registered Owner ~/ Ajl't. 1k/1!J ~ License No.
a /1<-,6 t-L [/i/t ~
(Mode 1)
at
33 7? I~ 11/0 ff LCr.--M-
, Springfield, Oregon.
Applicant Signature a+ ..
Date / / -;2;;2 - 7 S("
I
Beginning Date j / - 2:2 - 7 J?'
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BY..;! 11" '7 ,:7.~ 7- I f r1t,
I
Expiration Date (Z - 'Z- L - 7 <if