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HomeMy WebLinkAboutPermit Correspondence 1977-05-13 (2)U 3/?-fim, 7/ (. -s'-ff ,f ?o* ,'{ nu* pa,oaa, /na Da -/7v-5pag!€ B.7u*t Pn 744 ,Mtr>-r rltrrr<k /4a,>*zr - 77ar la6c-,,t'Q,ra 7. /a t/azr,*ED p<*pq {4.s 5- &:7-Fn T*+r />p+*/ct-' /,zf;;F4<-7ra -, /1r/7-€. -lt-z \- (x;CtrI,ANCy INSl,t,CTI0N AppLICATIT EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING DEI'ARTMENT Date:3\- ..t - Job Address:I Ovrner: 2 ALA y' r*^t, :''.).\.,Address: No. of Units:LL - Applicant:'r3* Address: For Access to property _ Telephone:e- ?/ 7-J,ar'\'>tJ Remarks: Date of Inspection: Date of Report: z- FOR OFFICE USE ONLY i,, fu. l*r- uG C-rr'; #,;( /7:cl (-'?: 'i'.tJ, :. :. 7 a il=o #' 7",T"'1,?;olI'" THIS APPLICATION FORM MUST BE SIGNF]D B ftte .-fn"ear:7r /:, i-,, Bsts? fuacr, 4P<.<..tt ht* 7. re,quired at. the time of application. drt.oa ..,{a< € r' rr,a,i "iir'i'" V/ryA *Y THE OWNER OF THE PROPERTY TO BE INSPECTE' 5*.p luu Lr/tt t- //,q*i- ilt;. o4at >>i. GNATURE OF PROPER'IY OWNER ---)Date of CofC: Receipt No.: t.