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<br />A,:lllt.1 CA'l'lON I"OH l'CIUIl'I'
<br />CITY OP Z~I'IlYltllll.l.S
<br />UlJll.DING OI!PAHnll:lfI'
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<br />1'1'1.1 CANT _.;;Cr;. f} LI1 yVl ,
<br />II II It ES S S ~ <f S PI) LfJ1 t-KtJ,) L. I) rz .
<br />IItJ fry w..fll<- f) WI P ().r /1) /f P /I- ~K
<br />11111 I.OC^TTOHUJE~~3P/J"R LlJwANl>~ L/JoP 1.0'1.'SlZE"'70 X
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<br />7/d.-oZJ, /6
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<br />PII~~iE
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<br />,\HlEt{
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<br />f(i.^ I. In:<>pu PTH/'II I.OT (s)
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<br />9,-~ AREA S(l.t-"f, ~/6
<br />j;t/vlJ,E .e....~ F
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<br />"tOCK
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<br />sunuIVlSlOH
<br />
<br />II\I\C;EI. l.J),II~. )'1- d.b -r~2J-IJL6tJ-lJtJCJCO-?Jo4f1:1
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<br />lOIlK 1)IWI'OSt~J):~HeW Const.ruction __Addl-tlon _Alteration' ~ltepall' _Inslall
<br />
<br />_.__S Ign/Temp.
<br />l'IWI'I)SFU lISt-~; _~(ilngl~ Family
<br />
<br />_S18n
<br />
<br />_tlove
<br />
<br />__Oemo 11 sh
<br />
<br />_tlfP
<br />
<br />_U of Units
<br />
<br />_tl/:"
<br />
<br />_ .._Commercial
<br />
<br />__lndu6t.
<br />
<br />_Swil1l, P'fol
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<br />Olher
<br />
<br />____Restaurant & IIl!a1th. Pepartl1lent Approval
<br />1IIIII.1I1HG SlZEI _I:, xl? ,__. L:/J> ~llllQl'8 f'e~tl
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<br />Ht:!; lIlEN'fl AI.: A TTACII (2) I'I.OT ('I.ANS , (2) SETS or I\Ul un NO lll.ANS
<br />(;Ul\tlU<G,^1. I AT'fACtl 0) ~g'l'~ Of' IllIll.1)1"O I'I.AH~ & (I) 5l::T t:tll::ItGY
<br />"COry Of COHTltACT ~EQUIR~",
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<br />/lfby -Jt 9~ _lie I gill
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<br />, (1) 5 E'I' ENt:I\GY FOIUI~;."
<br />l'OI\t1~ , . .
<br />
<br />~ll.1)lNG
<br />
<br />fERH1TS ~f.QUESIEn
<br />$ -S>~t()rdO _Vaiuatlon of Totd ConSll'uctton
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<br />t:l.ECTRl CA1.
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<br />AtIP ~,el'V I co
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<br />f' lor Ida "owel' Corll. I. i ':"_\1, R, t:. c.
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<br />. _~~If.CllAtnCA"
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<br />$.
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<br />_Valuation of Hechanh:al In&tI11~lBtlon
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<br />_PI.lIH1HNG
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<br />GAS
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<br />srt:CJAl1'Y
<br />rt-LtfM c- Olher'
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<br />TYI'\:: Of CONS.t'l"JGTlONI, _Rlock
<br />Y.i
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<br />r Itll SIlIW f'tooto\ I:U:VATTONS 1___f~T.
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<br />~"'V"'~~""""""""""."a....'~.,
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<br />.\lldl.ll t::Jt
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<br />-. COHTBACTOR StG'rIOH '
<br />_A-u /fLU t11, CUllIl'uny /J CE /ILIA. ('" .' ., I . '_n____
<br />~ ~ Stare Cert. or Resht,," cec..rJ .3Lf_fr.2.p[)__~_
<br />., ~ <H ly hlc:ens8 'ltelllstrut lUll II _-'~__________
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<br />S 11\1\1\ I.llre
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<br />1:LEGTUIGlAN
<br />
<br />51unllluce
<br />
<br />CORlpony
<br />State Cert, or "e816t..U
<br />Clty 1.lcensc Reslatratlon II
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<br />l' L Ut1U EIt
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<br />Company .
<br />State Cert. o' ~eBlstl U
<br />Clty 1.lcuns8. Pel!lSfo;f4\tlon I.:
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<br />~ ~ l~lIl1 tll re
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<br />m:CUAtnCA1.
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<br />Company .
<br />Slale eel'&.. or HIJ'llltit, II
<br />Clly 1.ll:cns8 Uellhtn'tlnn l)
<br />...~,.~"............,.....".".."......
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<br />SIHlllltllrc
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<br />UTIlER
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<br />Company ,
<br />Stole Cel't. or Re81~t. II
<br />Clly !.tcel\se ReUlstl"qtlun It
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<br />Slgltat.lIre
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<br />-----y-------
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<br />^1'I'I.l C^TION AI'PROVEO BY
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<br />"I'Ntll'I' Of I') C:flt,
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