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Home My WebLink AboutOccupancy Application 1996-3-12 -"'...- " e . \ OCCUPANCY INSPECTION APPLICATION CITY OF SPRINGFIELD BUI~ING DIVISION .============-============~==="=======================-=====---====--(;FlP~==- DATE:;t14rc~ IJ.) /19b " , JOB NUMBER: '/ . 33(;:; ADDRESS Of IN~r~qTIQN.; t/Ot/.S Ccmmefc/al Aile. APPLICANT: O~NER: Ea..S1 3/~ ganh'1l ciurci, . ,.. ". ',.. O~NER' S ~ODRE~?;t/oc.f.Z) q,rnmerc/a ( At/ e ~ UtA v" cI y:,q ..std I t. V I" I . t,RO,i:) E' CT. 7t/i'~5g1J PHONE NUMBER: 7tb s~Y.2 , . APPLICANT'S ADDRE~S; FOR ACCESS TO f~OPERTY ~ T~~EP~ON~ NUMBER: (;Jr 7c.(t/-~O 73 . ' . . ======~~?=F~9~~9~~~=~~~~fFF~~~~F~~=?~=~F~=~~F~r~~~-~~=~~====~=~~=~=======~====~= . '. fROPOS~g lJ~~i .h!l .r!t.::.ir~ M.a5.~. pft ~.~, ..fff.I1"t.~a// w~t( ,f:dr.Jt?ett .o,!r 6q/jj~5 i:y /a:s-lt~{/ ~/td&, .an/e4'/f..~or5 QI- e~J,el1~ "j. 'f'k (J()r..J eJ,fJen h()./I Wt1.y. , A$3~.OO' INf;!PEC'l'l;ON r'~E IS REQUIRED A!r THET~ME OF APPLICATioN '-. ',' ---.---- THIS APPLICATION FORM MUST BE SIGNEO BY THE OWNER OF THE PROPERTY TO BE I~Vt? SIGNATURE OF PR~~ OWNER -~--------~-~--~~~~~~~~~~~~~--~~~~----------~---~--~----~--------~--------~----~ FQi pFFIg~ us.~ O~T -------- ----------------------------------.--.----~-.----------------------r;------ D^TE F^~~,3~j ~j:j~. ..... ... ... ~QE~PT"~V~BER.d 'J6&J.. .'.. . -.... :. .' ,'.' DATE OFINS~~Q~tP.Nj ., . ,. ,.,. .'. 4 ~ ~.. ... ..,l'_. . ",,' .,-..f"' _. -'~' :'_ ',,,' .. ",... OAT I;: OF RE;PORT: DATE OF CERT!FIGAT~ Qf gQM~~~ANQ~1 COMMENTS: .... ~'.' -:'; .... .. ... ..... ~ 'oJ .... ....,_. " .. . ...... , 't.-' , . ,. . , . . ..... ',,'.. ,., '...... ro.... ..,. ; ~". " , . , ',"; ,:- ". ,...t..... ',.. . '. " ,. . ~ .-." , ',~, .~,~ ....,. - , "":~ , ".+'",-' ~'.. '"".; r.-. ~ ,...), . '>I ,.., ..... .' ...,~...... "'''' . " . <,. " '," '. . '. '~' : " " :.....:: 'Zi J.~"f.~:~:' '" .......