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HomeMy WebLinkAboutOccupancy Application 1991-11-07OCCTIPANCY INSPECTION APPLICATION CITY OF SPRINGPTBU)BUIU)ING DIVISION DATE: ADDRESS OF INSPECTION:o OIINER: NUMBER: ov..TOna dnRo*C\rruyc tfuurch I 96-Vas PHONE NUUBER:1Ll-bl*t b r o OI{NER' S ADDRESS: APPLICANT:So,.ne S 1Ia r<1qlt o.boOe 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 SI e FOR OPFICB USB ONLY DATE PAIDT //-7-2/ DATE OF INSPECTION: DATE OF CERTTFICATE OF COMPLIANCE: COMMEMS: RECETPT NUilBER: DATE OF REPORT: OoSo 73 t r)\ft1 rI <Y\r,fe-