HomeMy WebLinkAboutPermit Application 1991-09-23COI,RTBSY INSPBCf,ION APPLICATION
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ADDRESS 0F INSPECTToN: I iO8 11 ?, utr c\ G,>Y.\,C>r Qrg>;
OI.INER:3 I -1 Luln r vr pHoNE NUMBER: -l (+ 6-o5f?
OI,INER, S ADDRESST A
RENTER:PHONE NUMBER:Lt \- t,:1e
SIGNATURE OF OCCUPANT (RENTER):
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: -7 T I- I.all.l
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TYPE OF DIIELLING:STNGLE FAMILY -Z DUPLEX fJ MULTTPffi fI
BRIEF DESCRIPTfON OF MAJOR pROBLEMS: -,1- f+ d_l ,. , r.rJ n f F\ O Oy i t
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FOR OFPICB USE ONLY
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SENT:
DATE OF INSPECTTON:
NOTICE AND ORDER IS
DATE FOR COMPLIANCE
SUED
COMPLIANCE OBTAINED DA
OI+INER:
DATE:
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