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DEPT. OF BUILDING IN$~ECTION <br /> Marion Coenty <br /> <br />R.H~ WITHROW, BLDG. ADMINISTRATOR <br /> 588-5147 <br /> <br />APPLICATION FOR BUILDING PERMI] <br /> <br />Lol .... Block Addition <br /> <br /> Lot Sl~, · ~~ <br /> <br />Size of Bldg 16 ~:. 20 <br /> <br />Stooge Disposal <br /> <br /> '0~" Bosomenl Heighl in feet __, <br /> <br />to in,tall septic system Woler Suppi~t° drill ~11 <br /> <br />~Owne~ Addres~ <br /> Builder & ~. Sa~ Addres~ <br /> <br /> sam~. <br />Archite¢t Addre5~ <br /> <br />Phone 749-2234 <br /> <br />Conditional Use . Partitioning __ Variance Cage No .... <br /> <br />ONLY WORK DESCEIBED ABOVE INCLUDED IN I~RMIT <br /> <br />Zone Chnnge No <br /> <br /> APPLICATION RECEIVED <br /> <br /> lm= <br />'~ I)me 9/23/7~ <br /> <br />PERMIT ISSUED <br /> <br /> <br />