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Inspections: <br />~g e,,,_~1 F~g Ll-zc !':·.s~~~..-.,-. l,'B <br />f:i.nal -----co·-----·•---·-- <br />Str-;)•~i~IT-··~--·· ------.,___ -·---·------- <br />G!-~::P.AL PB~ i:T::; <br />1)-'l't!. ?b, Date L"l.Sf:!, <br />PLribg ----··--........ , _____ .. <br />:?h~.lres f <br />li~i::-"' ;,..~- <br />---· <br />-------- <br />-----·-... -----·· --- <br />za;rnc <br />A .. -ea <br />vadsnce <br />Dlst. <br />Se""'""'t"""S ... acl~~s--- <br />--------··--- <br />Said. ~e ------------ <br />Addres~------------------ <br />Phone __ ....,?,_7<-+-7_-_..,.z_e,_c;....,1 tt,_) __ _ <br />PRINCIPAL SI'RUCIURE TYPE -- <br />Bsmt: Fln Att-a Unf.ir. Are'J. ''" ___ _ <br />-~t(' --------·· <br />__ ,_o_ Depth __J_L /t.rea __ LZO -:...14' ~ <br />ACCESSORY 'S'TPJJClU?.E TYPE JI', ~~~----- <br />Widti. Z. ') .Depth ~4 _ Area~l_.--. S',-,, <br />Est 0'1,pleticn Date___ __ ~cle .. ~ <br />-c ~ • Vl l ~ 6 01( le.tp ~Nit•~ <br />~t •. ,mstru=t:i.cn a ue 1 ~. ooo ~ ~It cftt1Cft1N <br />1,vt ?1idth ___ Depth ___ ftsea __ tU•\fr-. <br />Lakeshore: Yes Ne, <br />Wetla:i1ds: Yes_ :-.o __ <br />Pr.:,r... Setbadcs: Front __ !'.ear __ _ <br />Side Lake --·----·------·--- <br />.~~-w::.:15'.!il!:? ... ~1-. ---•.:s:::sa~t?:5!1AC _,_.!£_._. ~.:C:---~&!dL!UC <br />/,PPLICAN'l' ~vsr &'tr..~~IT wrm 1'HlS f-l)ft•!: <br />: O)PIBS c-;: PJ..A:IB D!W\'111 ro SCA!..6 • A CSR1'1Fl'j\TE Q,_t. <br />SURVEY OF 'It IE wr, .AND nm PIA~ P'.dVTrn·~ FEE. <br />n1e undersigned het\->by makes a:,pl.i,.aticn for a ~::ild· <br />lng pemi.t for the work des.-:1ibed, agrees t~1 do c;.:rt <br />wo·rlc in strict accoNance with the ordinance~ ot :.he <br />Citv of Orr.no m,d rulings -.,; t}1e, State Building COIU' <br />Dh'i.siai, and d..nclares t.10.t au racts a-:id rc;,rosen- <br />tatio11s ~tatod here~ are true 11nd cr:-rrect. <br />,.-----------~-----------Slgnat".a-e <br />~~----------------------· !)ate <br />a <br />'l