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HomeMy WebLinkAboutOccupancy Correspondence 1996-6-27 (2) . .. "SJ;n.FIEL~' '.-' DEVCLOPMENr SmVICES DEP,lnrMI,Nr :':>5 FIFTiI smcrr SI'I liNG FlU. n, 011 !l/<ll/ (511) 726.3753 FAX (511) 726,3689 OCCUPANCY INSPECTION APPLICATION CITY OF SPRINGFIELD BUILDING DIVISION ================================================~=====cacaaee=================== DATE: ~6.7/9t. , 3.;l.3 ~ SI: JOB NUMBER: q ~ 0 [5~ L.( ADDRESS OF INSPECTION: OVNER: "- 10000p Q...Jr\. << ~ l~h v PHONE NUMBER: 1-L1t--13~~ t!.i q-l ~ Dr ~ 1-~\ ~ '" OIINER'S ADDRESS: ~ -=rou 7- I A 1 ""LL~ .p ... - - APPLICANT: ~-e,s /?Jc.d~t/ APPLICANT'S ADDRESS: ~~ ~Q( ~~ FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: ~j(P S0' - SP~ all 9gR-wg.~ ' 9'1lfY'7 . ================================================================================ PROPOSED USE: /~ " A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE *.. '---.. ,INSPECTED. . . . '" )< ~ " SIGNATU~F p'RaPERT b R -------------------------------------------------------------------------------- FOR OFFICE USE ONLY -------------------------------------------------------------------------------- DATE PAID: {p.l;n .I 0l( DATE OF INSPECTION: DATE OF CERTtFICATE OF COMPLIANCE: RECEIPT NUMBER: 0 d'd-d--S5 . ." .,"- .DATE OF REPORT: ...... COMMENTS: . : PROPOSED FLOOR PLAN REQUIRED AT TIME' OF APPLICATION \ ~ l<L at-: '\(i ~\0 r PH #541-q98-q0~3 1>Q ~ .~~~ BIOf \ ~ 10' _ 0'" 1 ~ %rl:'" ~ ~.I'--Q... ~'j.'. , _..~ f I QI <:::> - ) ~ <:Q o (<I wooy f7?W (,~ 8 /51 )- ~ ~~ ,O.')rn Q V-f5 '1?JO('l? j - ~ ~".) n;::)R\~ 5 T S~, I'J ~ -\-i e.. ,~ . () ~ cr Q7'fT1 - , ~ 1 01 'r0 '.?...... ..,... -- II-1S )r~ D(V) t1..f':; 1~rYJ -~ ~ ) -' , ~ ---- (/ -c') / g~ k I g / L.-"> ~~ 0 ~<:: c;zJ-+~ c......I -G ~6. ~, ~ I II /7 -/6 ()",> o I - ~\+~ \ '/.- / " i-- hf . " " ~ , ~ '-.... '. 'J- ~ '-.9 fY) > ~