HomeMy WebLinkAboutOccupancy Application 1991-4-27
.
.
CITY OF SPRINGFIELD
OCCUPAIICY msPIlClION APPLICATION , ~
BUILDING DIVISION '
,,..,
::~:~=====~~~~===~/=====================--------~::-:::::~~--zzr)l~~
/(P28 rf)a,'n.sf.. \~J1ld, nR. q7t/77
,
ADDRESS OF INSPECTION:
OlINER: L \^ V\ SI/ f' j (' ,0.. V-
OIlNER' S ADDRESS: C, I (P ,,/ , In /" +.f
PHONE NUMBER: I~Lj -(95fo5
,~f;)iL-L 012, q 7lf7'(
I
APPLICANT:
(q 'l.d~at'"J~,c_
//ft!,BE;e'-
-:2.../ .sf
6/.
,\p r I rla.ldd
; ,
747 - 0929
I /)fj2, 97Cf77
APPLICANT'S ADDRESS: ~~O
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:
========================================--------_~____~______=_==a==============
PROPOSED USE,/j/?-r- aaa..t+ 'Ce.l:.Eii/ ,~4......p;>
A $35.00 INSPECTION FEE IS REQUIRED AT THE TIHE OF APPLICATION
ICATION FORM MUST BE SIGNED BY THE OIlNBR OF THE PROPERTY TO BE
cC2~
------------------------------------------
FOR OFFICE USE ONLY
DATE PAID: t...J 00 ~q!
RECEIPT NUMBER:
li71()
"
DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMHENTS:
~