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HomeMy WebLinkAboutOccupancy Application 1992-1-2 . . OCCUPANCY INSPEGTION APPLICATION CITY OF SPRINGFIELD BUILDING DIVISION ======================================================c=______================== DATE: /- 2- q~ JOB NUMBER: CJ2.WJ4 ADDRESS OF INSPECTION: &~NW"'~'-D Iillf't-L (OLD ~~ !:'7OC.e" ') )i'I'70 CJ.<~,.,t"''- I Wlt't~r .-f"'=~ 11VN64.e-s J;vC1.he.ANC-({C-INW'1&!)f!tu)PHONE NUMBER: 7 ZG. - 7e:JZ OIINER'S ADDRESS: I9::1.D (jL'1"",,'L ~ ~NGPtec...D _ APPLICANT: ZL~~. PR.5. Ll)OI:m..<:..C~Tl .APPLICANT'S ADDRESS: ~;;( 10 (~b' Uv~ - FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: ,'?Lf-Y-- 'H}7S, ~ / A/('_ ================================================================================ PROPOSED USE: Il\JbUO"R... ~/. '1 FVI\.J C. 6N7'0'?? A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION THI:2PPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE I~PEC ED. ./ A? ' / /l ,/L/LJ - t/L~/Z;r~ - SIGNAlM"E OF P1l.0PERTY t:ll#Il;R/""AN_~ ---------------------------- FOR OFFICE USE ONLY DATE PAID: /-::>; ~r RECEIPT NUMBER: ----------------J'--- . d//~~I.~~ DATE OF INSPECTION: DATE OF REPORT: DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: --- , ....,..-,J,/r Sffl'-~ FR#w\.. ~A'1,{{"S5 l>ieV6S, /1'l~'S \/ ~€: ~UB ~/NG, / r7 " ~ Wl:: AC:6Ak- CJW/V~ qp 77If: />'1Ac..(,... IrJSrJR.IIN~ IS 7lf<= ~