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Lk <br />2 a'3 CITY Uf 0"40 PEv.TT A1'?LICATI'T, <br />_ UN CSC C) ly _ Ac'NLLCATI� �' I:11•":c <br />Ic. Date 0-7t <br />Fang / t' • Z c <br />MX-F.AL 1737, <br />l�tx ?io. Date lisp. <br />ittUrJ3 ? <br />Y'e_1 <br />*tar <br />_ I <br />za,rG DL*t. <br />X-el <br />Jdt isZYCC � <br />:aid. Uz;e <br />L rt CLeb , <br />"fair R1:1'IC'" r"?tt:+T� <br />'' .f •76. O r.A alb <br />_�tL� ,� Ste• <br />M V <br />PeT".; : "' <br />Co <br />Plata RAvi -+ F-e <br />'iPatr �1.:Tt`taroe <br />uA <br />P;CZCT ADMI SS -- <br />Lot SIOC ---sear <br />Owner (STL,- W L- 2,,...,(1��.�1 <br />add.�esg 2,7 1 � �ci U� d <br />M) del <br />Addms a <br />P!►one r i 1 _ & 1 <br />PRL\CTPAL Si MU rt<M 7YPE <br />Bsmt: Fln Afro Win P.res <br />"xin F1r: 'Ridth 12 Depth 2 G Area!- 4.J'ju <br />2nd Flr: Width to Depth IL -Area 120 - Cgoo <br />A.=SSG`RY M. —C'ItM TYPE w V, tj&vmS4 <br />Width. Li Depth 24 Area ssz — Fftq <br />Est Crmpletion dateOK <br />_ <br />Est. Gmtrv_ti n Value - 000 � t <br />A A� <br />►.ot Width". Depth AreA <br />Lakeshore: Y'ts No <br />!+vetl ands : Y-s NO <br />Pruvc, Set'aack5 r-mt -- %ar <br />Side Lake <br />2 OOF1ES PIAZ D'ZA 4 Ir F4=-, A CErMFICAM W- <br />SLMS' OF 'II E LQr, .kU 71-M I V M i 1M. FEE. <br />The undersig:ed hereby mattes aali:.atim for a r:i.d- <br />ing pemit for the work desc:it,e:i, Agree-S to do &.]* <br />. <br />work ki strict accordance with the ordLumes �i :.1te <br />City of Orrno and rulings j: tye State IuUding Coup <br />Division, and declares that al:. racf.s And reprvsen- <br />tations statod herelm area true and ctmeet. <br />S igna may <br />