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HomeMy WebLinkAboutOccupancy Application 1982-7-28 . '1 .. ~~~AION APPLICATIO~ ~z.JOrr \ --'] 03 "304~O~lcd EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING DEPARTMENT DATE: ry/7..fl /g-Z- JOB ADDRESS: 2 \4A 'Mf~ -:>\~4 'S:~t>, \l,.J( ~::p('er OWNERS ADDRESS: 'Zfo,7 W ,\({..~~-.---'L ~, ~"".e...J7 APPLICANT:.-J~ ~,;. .. ~ ~f'.-L'&-- W-~.~ APPLICANTS ADDRESS:~gZ- ~A:S.~~ v;::>) s:-f'~--()~... ---- , FOR ACCESS TO PROPERTY - PLEASE INCLUDE TELEPHONE NUMBER: 7'17-5b8'Z- NUMBER OF UNITS:' << OWNER: '1 A $24.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY Ht OWNER OF THE PROPERTY TO BE INSPECTED. Ad , ...... .. . ;;; )A~ u-.. ( G ATURE OF PROPERTY OWN~ . __ __ _ _ _ _ __ _ __ _ __ _ _ _ _ __ _ _fQ~_Qfng~ _ yg_ Q~1-X _ __ _ _ _ _ __ ___.. unL _.. __ _ ..-..-- -.... . ' DATE OF INSPECTION: DATE OF CERT. OF COMPLIANCE: - -----. DATE OF' REPORT: REMARKS: RECEIPT NUMBER: 5 q,L-/3_~_ tr~ c951% ,/- . t 0-0 0 71 .-V'- v(,~.~-A <) (\1-.1- _ 747- x,J'2- \~ _ ,tThUV<::: "-. -~-' ~