HomeMy WebLinkAboutMiscellaneous Application 1986-2-27 (2)
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COURTESY INSPECTION APPLICAT10N
(RENTER REQUEST)
- CITY OF SPRINGF IELD
DATE ' ~ - ~ 7-?eo ADDRESS OF INSPECTION
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ADDRESS J/ sO S,' 4b rll , '
RENTER /};/d~~./ '4-10.--1/
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SIGNATURE OF OCCUPANT (RENTER)
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER
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BUILDING DIVISION
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PHONE NO.
PHONE NO.
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TYPE OF DWELLING: SINGLE FAMILY l{f
BRIEF DISCRIPTION OF MAJOR PROBLEMS:
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DUPLEX 0 MULTIPLE 0
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h~.AJ 0 ~
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FOR OFFICE USE ONLY
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Date of Inspection
Courtesy Letter Sent
Notice and Order Issued To Owner
Date For Compliance
Compliance Obtained - Date