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<br />,-- <br />~..l.;~---"""--''''"'''''''--'' 14.AI~ <br />, ,,\7- <br /><2, l~)'J - <br />\Y ~, ~ <br />I~ \ <br />o <br /> <br />1,- <br /> <br />APPLICAnOIl FOR PElUIIT <br />CITY OF ZEPBYIUnLLS . <br />BUlWlRG DEPAR'l1IElIT <br /> <br />OWlIER'S ~1t1JOfA /~A~L 51f)~> <br />OWER'S ADDIlESS S8 S S - I g AtE- <br />JOB ADDRESS ~~ ~ AAJv';;" <br /> <br />PHONE '1~r~8 <br />?fi.fIl<y(l /.Jlu.. (. fA- .33s"'-f) <br /> <br />LEGAL DESCIlIP'llOIl: LOT(S) <br /> <br />.BLOCIL--SUBDIVISION <br /> <br />PARCEL I. D.' , 0 - "'2 ~ - L I - (OBTAIII FROII PROPERTY TAX NOTICE) <br />WORK PROPOSED:----1iew Construction .---.Addition -----A.!teration )(...J.epair _Install <br /> <br />VERIFICATIOO <br /> <br />l <br /> <br />OF <br /> <br />NLffiER (f UN ITS ~ A METER <br /> <br />S1bl)"f-~ <br />~r;- <br /> <br />AcCT. #: <br /> <br />t- <br />V') <br />w <br />:::> <br />C2l <br />w <br />0::: <br /> <br />I) U pLf.:~ <br /> <br />VERIFICATION REQUESTED By: <br />DATE: <br /> <br /> ACTUAL # lJ-lns ON rtTER: 2 ON \ <br /> ADDITIONAL CotvV-t=NTS: <br />z: <br />0 <br />--- <br />t- VERIrJED By: --dfd,~ # 151A.A -J <br />d: <br />L> <br />--- <br />LL Sign.ltuH' Ihdl in', ]nSi'('('t~f (lla t(.) <br />--- <br />()' <br />L.W n <br />> <br /> DATl # or Ur~l1S CoRRlCT[D ON BILLING: <br /> CoRR[ CT I ON MJ\J)[ By: <br /> - - <br /> (Sf r.llnt UT(') <br /> <br />cc/lou1e Sv]]afH <br /> <br />!UE' <br /> <br />(4/4/85) <br /> <br />~, <br />