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Lk <br />CI I1• J: 01"40 PEP! 'IT A ')LICATI'T; <br />kWLTCfi i h%' <br />Date <br />Pi�0,7'iCf {47 I'SS I <br />Lit Bloat a aY l <br />I 1s�cT ions : ! Owner 7_e__n_'.TL_L._ =01-11 -{ G <br />s' Vdd-esg <br />E <br />CaZ7- <br />il:,x N3, r'a to Ln3 <br />ware: <br />!deter <br />5tm, i�_ <br />Zaxn Dist. <br />_+eull_rt�trc_�40�t sr e.�ds� <br />L- <br />Per ' ; ree <br />Fl an t ire vi h Fee <br />"irate�un}►erra <br />S�Z Ziarp <br />BuiI&I�.z. J <br />_ <br />Addms c <br />Phone <br />PRL`CIPAL S, K,-,_In F 7)7_r <br />Bsrt: Fln Aria Unfir. P.res <br />»W.n Flr: 'Adt'i f 2 'JCDt}1 Z C <br />A1ea�� r.l3� <br />Znd Flr: iIth f 0 Depth 1 <br />AXESSNY S- ;=.E TYPE et'JmLd t <br />Width Li Depth Z4 - Area Sf Z <br />Est Crnipleticm Date_ <br />Est. C_rutraztion <br />14t. %lidt2: Xvr=h Area <br />KC0041e. <br />Lakeshore: :'es Ya <br />tletl aids: :'es 110 <br />Prn-- Setbacks: Frcmt_ "earl. Y. <br />Side. Lake <br />!P➢LTLW ZS: .`7.J:`!TT 171111 RYU: <br />toms t= PLA:;S D' v-4 7t1 SIWI• A aTrIFI(X"' G;- <br />RM'F! Of 7ic L01', k D 7vIE PIA\' FF.E. <br />The uc:dersipned here -by maye• a:+plt:.a:ron for s :r.:i:d. <br />ing garriit for the work desciifa:3, agree. t� db .], <br />wrrk iZ strit--t accoraance Leith the ordLlsmrs I�i -tie <br />Citv of 01-mo arid rulings is Vie State ;uJdirg Cain <br />Dix'ision, and dmIsres that al., rac!s vie rr-rrosen- <br />tatiom statod hamm am true and crrrect. <br />