HomeMy WebLinkAboutSpecial Inspection Application 1985-10-10 (2)
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COURTE~INSPEC;ION APPLICATION' ~
(RENTER REQUEST) ?'IO~
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CITY OF SPRINGFIELD
B~ILPING DIVISION
DATE,/lJ- /0 - "l ":: ADDRESS OF INSPECTION
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ADDRESS r:~11 C r~e.k
RENTER Dp,,; ~e..~()W('I"i
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5.J-40 (J//p.;;' -#C
PHONE NO. qj7~--J777
SIGNATURE OF OCCUPANT (RENTER)
PHONE NO. ~S'l \ 14r -).7'3 -:s ~
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(1)1)1) rJ4/-) 733
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER
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TYPE OF D\'IELLING:, SINGLE FAMILY 0 DUPLEX 0 MULTIPLE ~'~~
BRIEF DISCRIPTION OF MAJOR PROBLEMS: ~Dl<.rn fA);~OuJS,-4-' _,0, ......, '~~
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FOR OFFICE USE ONLY
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Date of Inspection
Courtesy Letter Sent
Notice and Order Issued To Owner
-Date For Compliance
Compliance Obtained - Date
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