HomeMy WebLinkAboutOccupancy Application 1991-11-07OCCTIPANCY INSPECTION APPLICATION
CITY OF SPRINGPTBU)BUIU)ING DIVISION
DATE:
ADDRESS OF INSPECTION:o
OIINER:
NUMBER:
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PHONE NUUBER:1Ll-bl*t b
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OI{NER' S ADDRESS:
APPLICANT:So,.ne
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APPLICAM'S ADDRESS:
FoR AccEsS T0 PR0PERTY - TELEPH0NE NUMBER: lLl,b-l +l b
PROPOSED USE:
A $SS.OO INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATTON FORM I,IUST BE SIGNED BY THE OI,INER OF THE PROPERTY TO BEINSPECTED
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FOR OPFICB USB ONLY
DATE PAIDT //-7-2/
DATE OF INSPECTION:
DATE OF CERTTFICATE OF COMPLIANCE:
COMMEMS:
RECETPT NUilBER:
DATE OF REPORT:
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