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HomeMy WebLinkAboutOccupancy Correspondence 1995-3-25 t~.Cr4iJc~~~tlN'fI 0v,"/zji fle- e;; . Complete items 1 and/or 2 for additional services. m . Complete items 3, and 48 & b. e! . Print your neme and eddress on the reverse of this form so that'tJJY 'sn G) return this card to you. ~ . Attach this form to the front of the mailpiece. or on the back if space .. does"not'permit. .! . Write "Return Receipt Requested" on the mail piece below the article number .. . The Return Receipt will show to whom the article was delivered and the dato 6 delivered,' . .. "c::l 3. Article A~d~~ssed to: " i Sh~ir\1 SYY\i~~ ~ C/o ~V\y Lu+hvra V1 Chuvch ffi 33100 Goma. fa,m 12d ~ Spr\ V\q-Pe IcJ 02 ~ ._-'I_L_' Q7Lf7'K ~,~.~. ~q~ ~ . t~nt} ~ ~1~L-, o _ _ _ > PS Form 381', December 1991 1fU.S.GPO:t~.714 .!! ~ (~: 3.300 6tv'''t !tl, yy\ I also wish to receive the following services {for an extra fee}: ,. 0 Addressee's Address ai u .~ " III a 'ijj u '! <: ~ '! '" 0:: 2. 0 Restricted Delivery Consult postmaster for fee. l' /37" ~~;:/ '-1/ 0 4b. Service Type o Registered !Q(Certified -0 'Express Mail o Insured '" o COO <: Vi o Return Receipt for :J Merchandise ... 7. Date of Delivery ...! 3-aS'Jt i- S .. 8. Addressee's Address (Only if requested..:lll: and ~ee is paid) i J: to- DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SER'iIIii <v " <<J Official Business -- - -- -- Print your name, address and ZIP Code here . . DEVElOPMENT SERVICES 225 FIFTH STREET SPRINGFIELD, OR 97477 V~'$ . '..,."., . . OCCUPANCY INSPECTION APPLICATION CITY OF SPRINGFIELD BUILDING DIVISION ._~._u_ u.. ..d.. _. _._. '.__ __ ,______________. _ ..____ __ ,__ _._u__. ...__________________ ________ ..----------. -.---,,---------------------------. -- - -.----- ..---.---------------------- Di,TE: -~~C~ ?_L~:!!':5' I\DDRESS OF ; NSPECTIor-:: ?""3~ G4~~~ n'C;1. ';l':l-t'~ '2.-.::> O\lNER: j3e-C##/P-:Y cG.::-~c::::'i84f'~4. PIlONE NUI1BER:7--?~' 2~r IJIINER'S ADDRESS: _?2-~h~ 4/-".;k:~~Z't-.".- APPLICANT: --;;~&d2'l.~ _?~/-"~~ . _ / S:s-.. C '" ~.,.- APPLICANT'S i,DDRESS: _B~:2 ~~L?J!"//-~- ~rt-r~-"22.Y~ FOR ACCESS TO PROPERTY - TELEPHONE NUl-mER: ,_:;Z2?",~~ -'j'I~t"$ ~:"S '.~~~~~~~~=~" ==~=o,~~====~~~ ~~"~=~~~~~= ~=~~'" . ~o,_~~~ ~~~~~i'?d5h=====~===== P!WPOSED USE: _&~~ C:::::-$='~~~-~r ~.... JCB NUI',BER: _9->~:<~ II $35.00 INSPECTIO:, FEE IS [mOU;.REIJ AT TliE Tl1,E OF APPLICATION THIS APPL,ICn, \ FvO~R'IJ'1 ~ I'IIIST BE SIGNED B',' THE O\lNER OF TilE PROPERTY TO BE pJr~~' f'D ~ ~lt'~iI'~O~E' UI,'-I:[{IJP~lnTO\I~-~ . " FOR OFFICE USE OilLY DATE PAID: '"3 -. ? '-?S- REcnT NU~IBER: _('t:::._~'T./ ~ OATS OF REPORT: DATE OF INSPECTION: DATE OF CERTIFICATE OF COIWLll,NCE: COHl1 ENT S :