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HomeMy WebLinkAboutSpecial Inspection Application 1984-12-26 r; _!!sAP:. Cjo/'mjfoeurf ~ 3::?o /()J;?/i~flf ~~~ COURTESY INSPECTION APPLICATION :sol, ?i ~ (7q (" 1_ (RENTER REQUEST) CITY OF SPRINGFIELD BUILDING DIVISION DATE \~-o-w-'iSif ADDRESS OF INSPECTION -::;-()..L/o mAt' N fTh. iI=: 13 OWNER V'f\I(\~4t::L ~nA-rUl\JQ. P()bh;n]S PHONE NO. q-:2,-;-'3//1 , . , ADDRESS Nnn'--f U++Ie... FA-LI QQ.ePy QI'\A--D I kIll [J!e.ell. 0 ~ 97L.f7't RENTER \(E;-e..Not0 ~,W;~I-+TmA-r\J~fd~f!i(\je_7~~-7777 SIGNATURE OF OCCUPANT (RENTER) Q!P./UIvaIYI/ ~ ~1J2t;.t7.AV' '- - 0 , FOR ACCESS TO PROPERTY - TELEPHONE NUMBER uf.PAUJ t1 (7 12 ~ P {.' , 7~(;,-/,77 7 .-ik ~ , '.. TYPE OF DWELLING: SINGLE FAMILY d DUPLEX 0 MULTIPLE 0 BRIEF DISCRIPTION OF MAJOR PROBLEMS: (Sl UJir-..\rl.(;IJ) t='Q~ A-~ \f?.-atkPr-O, ~()U. ('p..~+el>Pr\()rmiJ.em @J IA:)n~~()Q.. -=cs l H\\~(4-i.Jh.Q'C~fY'L~r-; l~rrPthe i.JAII, ??> (\ \rrt.. WP.:l \JAD /? 17er--1 t{\ -' A-r\~ _ eo/)~ . . PiY+l-h+uD ~~\~L-e.p.,-~ (\~~\s-I-Af\Til~.) . . ~Ap'aJlY'I L.. ') ~\ \ ' . "(i-A\ ,'\\\\~,..:~~_j,d te .p \C0~4:v0A\ &lC'I---~ Sa~ ~fY'I+\..l'),6~ly- rlfU?ILtJ i I) ~ rY\~.\ . ':!:.--4~J"Y''\<) -:s::..+\A,\0(1\~ '^, \1 J-;::"-P~ ,;(-:'~'11' o f\")A hf2:~ 0~ Al L 1 ~ '~L1~MtxJ12 \;)O",'-b-Q+...P2A.(I('),O ~ h~ CL.~lp , (!5) 1I).P .~p..()O_ Y; I, \Or! 1'\...1 \ y;rv-ls ~ ry--."I('l e", FOR OFFICE USE ONLY -------------------------------------------------------------------------------------- Date of Inspection Courtesy Letter Sent Notice and Order Issued To Owner Date For. Compliance Compliance Obtained . Date