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HomeMy WebLinkAboutOccupancy Correspondence 1979-6-4 ....~: ..1' "j' ~'.:-:..< \ .~ ;:' ,,', i; . ., " ' "CUPANCY INSPECTION APPLICATIt' D-17 .t10 &1- . EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING lJEPARH1ENT DATE: ;:}-UA.-Ir r -j97~ JOB ADDRESS:g t, '? I-AU/l.;J. 5"..... NUMBER OF UNITS: J OWNER: LY&JDJ/Z WfL,bi:r. ADDRESS: t:,(,.I.2-.-i.....lLJlJlJ.... LAiJlr-~61.p~. APPLICANT:-1L1. tJe:j:t,~.i:J./t-Pr ADDRESS: :L?J'...9.. J~L.-L.IJ LcJA.'Y-)Q~'D. <if.t 7'4 A-~RfI,y~6 7/AE FOR ACCESS TO PROPERTY - TELEPHONE: 7y? -h '//{) IIG WI'-'- )I.dlSET' ~. .(.LJNII;::P';//>/J o;q EX/oS77&:;' IIc",~ h> O;r;:v~c: r~ A l?E7?1/I- I v)l;t8=C ~Rb A $20.00 INSPECTION FEE IS REQUIRED AT THE THIE OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROEPTY TO BE INSPECTED <L? ../ ~ ~~ ~/A:~ S~ATUREOF PRorfu'rY O~ER FOR OFFICE USE ONLY ------------------------------------------------------------------------------------- Date of Inspection: Date of Ccrt. of Compliance: Date of Report: Receipt Number: REMARKS: