HomeMy WebLinkAboutOccupancy Correspondence 1993-10-29
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OCCUPANCY INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE: / /) - ;2. 9 - q> JOB NUMBER: U/31 {g~
ADDRESS OF INSPECTION: 1,.'2---'{; M.Ax-v\_..- 87
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mINER: f,k;'" (--"'2AP e?/~ t(jJ,~ r
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OYNER'S ADDRESS: ,463 -0, Uv_ ;tl(,v;(t)t-,
PHONE NUMBER: '/S'Z -0rsS-
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APPLICANT: R. tJ L,iJ A j tv{ EE17
APPLICANT'S ADDRESS: /7& -~;).~ C5p,-II;C{ ~/e J ~&I 9/ti"r;7
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:7t/6-C;;;)..??
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PROPOSED USE:
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A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OYNER OF THE PROPERTY TO BE
INSPECTED. ----
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SIGNATURE OF PROPijTY OYNERT- I
---------~~Jl___~l=i.~______________S Pv-) ~l '-~L~-~J __________
FOR OFFICE USE ONLY
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DATE PAID:
10 .~ 24' -13
RECEIPT NUMBER:
/0730
DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS: