HomeMy WebLinkAboutOccupancy Application 1993-11-05_._r1
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OCCT'PAI{CI INSPECTION APPLICATION
CITI OF SPRTNGFTEI,D ONDIVISIBUILDING
DATE:
ADDRESS OF INSPECTION:1o 3otl"U(
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OIINER:AN
JOB NUMBER:
PHONE NUMBER:6fi-e€7/
OIINER' S ADDRESS:c5 )7-
APPLICANT:/^o a i l/./4;* ny'-I,
APPLICANT'S ADDRESS:hJ
FoR ACCESS To PRoPERTY - TELEPHoNE NUMBER: 72?-
77m
€pC O ?z
o 687 -
PROPOSED USE:F*Nrltlf h"4C
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THIS APPLICATT
INSPECTED.
.OO INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
ON FORI,I MUST BE SIGNED BY THE OI.'NER OF THE PROPERTY TO BE
Ah*//,1/4,1 fui%;fr.A"4
PROPERTY
FOR OFFICB USB ONLY
DATE PAID:
DATE OF INSPECTTON:
DATE OF CERTIFICATE OF COMPLTANCE:
COMMENTS:
RECEIPT NUHBER:
DATE OF REPORT:
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