HomeMy WebLinkAboutOccupancy Application 1995-4-24
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OCCUPANCY INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
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ADDRESS OF INSPECTION:
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OIJNER: 0ml1HvA Wdfu'J PHONE NUMBER: tJ37-,,:J'ltJ3
OIlNER'S ADDRESS: J / / t? jJ, PUh-e.-e.f\ LOwe....u} ()~
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APPLICANT: f7jp #-a.-:e 0 de...o
APPLICANT'S ADDRESS: ' 4-:l;2,Q ma...vn.~.o.f!AuL
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: 7<J~rtJ'7tJl) flV 1(/</- /9/1..5
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PROPOSED USE: VI'dw flu...;t..&J} '-~ .
A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OIlNER OF THE PROPERTY TO BE
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FOR OFFICE USE ONLY
DATE PAID: 4.2-1~
DATE OF INSPECTION:
RECEIPT NUMBER:
DATE OF REPORT:
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_DATE OF CERTIFICATE OF COMPLIANCE:
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COMMENTS:
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