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DEPT, OF BUILDING INSI~,.CTION <br /> Senator Bulldln0 # 225 <br /> 22n High St.. N.E, ~d Flor <br /> <br /> ~' <br /> <br /> Ty~ of P~ ~blle }{om~ ~: ~::[l;c*' co~ctloh & a.i~, ~si~en~eca,~ ,~Tax°n LotPr°per~YNo. <br /> <br /> ...... e Twnthp,, <br /> ~ 769~2'770 ' <br /> <br /> 8~,,,& N~.:~r!~te ~ rty ~,~:: <br /> <br /> wider Sup~y: ~1 Valuation: <br /> <br />~ ~" [4 x 65 No. <br /> ~ Roof <br /> ~ Po~c~ ,,~ ~1~ ~~0.~0 <br /> <br /> ~TU: ............... Total F~t: ........ 91,40 <br /> <br /> 70r ~ tO 70L 125 <br /> <br />&~ ~ ~ ~¢ ~ ~, ~ ..... <br /> <br /> SIGNATURE OF APPLICANT:: ~4W~ ... <br /> ~: PLEASE NO~riveway~ ~ ~a~ ~walk in~tton~ are requir~ by Public Works:: <br /> 58~036 <br /> <br /> <br />