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HomeMy WebLinkAboutOccupancy Correspondence 1992-6-23 ,r_.~ . . '1o.}-t...* n 03 '3,5 4;), O~oO OCCUPANCY INSPECTION APPLICATION CITY OF SPRINGFIELD BUILDING DIVISION =================================================------========================= DATE: {o\~3/q'Z- JOB NUMBER: ~'2~ ADDRESS OF INSPECTION: 110 t\.1 110 uJ ~,.., OIINER: (2.0 bPrll.. .., '( _ 11M In L I OlJNER'S ADDRESS: 1'12'5: w. 3lftrf/h/r, PHONE NUMBER: '3f~'.9bk_ /--l/G ~c- c) d - 97V(} \ I APPLICANT: k!.~ r- L. TIt,fol/ APPLICANT'S ADDRESS: :S'~ (;; FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: =========================================================-----================== PROPOSED USE: () ScQ:\ (l M (Co '( A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION TH~PLICATION FORM MUST BE SIGNED BY THE OVNER OF THE PROPERTY TO BE INS J':~ - . :::~::::_o("~:,~:::~ _______________ * FOR OFFICE USE ONLY --------------------------------- DATE PAID: ,b -~-9"2.. RECEIPT NUMBER: 5'2 '/ z;> ~p-- . / I DATE OF INSPECTION: DATE OF REPORT: DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: