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A�r-3�-2��T '�1:24am Frcm-CITY OF OP.ONC +9522494018 ?-9?4 P 003/D03 F-`09 <br /> . ._ �► <br /> i � <br /> "�:�� _ .,� i?l'V'kli�:�.l"J�+� � � � � ��.RfF�.r f1�f�. '-� <br /> �." y �=2�Q r. �v';�;TE��M�'�'F.R: �. 3` _� "''�.� <br /> �-_�___����M �v <br /> �;b°':v1'E�TE�'.-$2=t0,0o !✓� i4`�IvfE;�iZ- �241.00 (� 1�YSETL^R-$35G:0o <br /> � �/S"HU�'�ti -� �4.62 �!a' I�OR� -$ �9.03 � � 'HOR.'� -$ ;3 12 <br /> � _"��'a'fER ri1ETLR (THF5E 1�1(.t HAVE 7Q BE SPECTAL OTtAERED s�1'RIC�S DE'TECtA'EINEU) <br /> i. ���1"Ek�r'��; <br /> $�' '�, -- <br /> � -� <br /> �. k(022,'�FEE � <br /> 3, TO'I'AL Pl;FLPYSI7 k'EE �iAdd Li�1es 1-2 Above) � � " ` <br /> .T -----� CITY-USE ONIGY __�___�_�..--J <br /> ----------------P <br /> ax�.t�t�: r.____.. <br /> S1Z�. 1� 5;8" � 3i4" Cl i'� � Q�"�� I���IA�INII1111N11 <br /> /` <br /> s�.��.z��: 8 � ' � .—_ ,a,o2s�sz2 <br /> ERT H1G:i�: � (i1'applicable) <br /> �i ������ � <br /> ,_--------- ADD fTIO'v"AL L�'"F0�'S,ATf�I�T-''ti�'ATLR MET�,RS,: 1 <br /> i lle nndersib��d hereby appLes to th� Gity oi Orurao far issuai:ce of a ��ater metc't p�i�nit, �giees <br /> t4 do al1 wcrk in strict acco-daz ce vritl:the ordinances oi the Cit�� and the regulations ef the StaTe <br /> of�Iinnes��.a, and� .irie3 aii sta m�n:s mad�on this applieation are, t�ue and coir�ct. <br /> �� <br /> l2 ��'/ Uate, � G� � ! '�)�� ~�"� � <br /> ApplicAnt:r � � -- <br /> Ur cginai: ,`-.4�lilre�s�'r1E� <br /> h'l:akr Cop,`'?s Fo�•; 1- L�ril,:�'Bil;'in�Dep�t!'nr�en� 1- Ccts1:Drtitiver' <br />