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<br />OCT-"7-'97 FR[ 08:10 ID: TE~ ~~: <br /> <br />1!30,; PC2 'fI::- <br />ftor- , I~~ <br />}Jill D,l''1 f"~..t <br />4~() cP- eCi?,Sf- .cede <br /> <br />APPLICiTl.. POll PDlttT <br />cnt OF Ul'IlYIIIlLLS <br />IUlLDlIIG DlJla\I1UIT <br /> <br />OWIJl'S .. c di rJ~ L~~ Yl(l,' 1/ <; <br /> <br />PIllIII <br /> <br />OllIIa'. ,- <br /> <br />.JOII ADfIl- <br />LII8AL IlIlllaUPnCllh LO'l'(l!I) <br /> <br />IVlSIOII <br /> <br />PARcIL I..D.' (DllTUW I'Il:lIf _ TAl[ IIM'~ <br />IIOU PIDIOIID:.x...- CouUllc:tlocl -.,Addittllll -..A1teraUllII ....ir -IMtaU <br /> <br />---8111l <br /> <br />-.Hove <br /> <br />~luh <br /> <br />l'IDlO8ID USlI -.JiiDlle '-lIT <br />_~rcllll <br /> <br />-J/P <br /> <br />_' of UDita <br /> <br />--1f,/1 <br />Lom.r <br /> <br />_lDduat. <br /> <br />---.5WiIl. Pool <br /> <br />___8Utaunat . Ile&lth DeJlU'bIeo.t Approval <br /> <br />HSCUftI.. OJ' II)U: <br />Z (6 . <br /> <br />IU'lLIlI.IIG SUlI <br /> <br />. IB8IJlD11&L: <br />GUIIIIaCIAL I <br /> <br />Square 'eet. IIoIip.t <br /> <br />AftAal: (2) ft.01' PUIS It U) SITS or IUU.DlJIC PL\JIS . (1) SIt -.or PCIIHS. <br />AnACIl (3) ImI or IIUWlIIG PLUIS " (1) IU IJIIIGf .... <br />noPllft 8UDD UQUUID POll ALL In COUDtlCTIOI. <br /> <br />PDKIft .IfIIIltRDII <br /> <br />-JU1LDIJIO <br />X In -ntICAL <br /> <br />. <br /> <br />Y.w.tillll of Total Coutnctillll <br />/. <br />AMP &enrtco ...l...J1Adda PoIMr Corp. <br /> <br />1Dt) <br /> <br />_V.I. I.e. <br /> <br />~ <br />~IG <br /> <br />. <br /> <br />ValuatioD of ~ca1 I.Ilatallatioca <br /> <br />GAS IlOOFIIIC <br />.)qck ----1n. ---.8tHJ. <br /> <br />ftPI or DC*&aaDCr1Oll: <br /> <br />Al'ICIAL'l'f <br />oeber <br /> <br />nu-. n.aa. IILB'IArI.OIIa:----Tf. <br /> <br />J.S PIOJIC'r 18 FtOOI) ZOIlIl ADA' _ <br />JD <br /> <br />- <br />10 <br /> <br />.......................................... <br /> <br />1llInUmn. ~IQII <br /> <br />~ OlEAII' <br />State cert. or "'ut. f. <br />SiaDe.tve City Ltceue IqlatratiClll . <br />.......................................... <br />COIIr T6'-('OUt-11-v IOW-tCL ~JIS~5. <br />ta CUt. or batat.' ' i: CCDO~f'1:' <br />City Li_ ",iatratioo. . .. <br />................................... <br /> <br /> <br />I'IaIIII aJIIPAIY <br />Bta~ Cert. or I.qut. , <br />8iaDe.tun City Llc:eaae b&iltratioo. . <br />.......................................... <br /> <br />1lIIi!lIWIT,....., COIIl'AQ <br />Stata CUt. or Beaut. , <br />8ta.ture City Liceue baiatraU_ . <br />.......................................... <br /> <br />.- COIIPAIlY <br />State Cert. or ...tat. t <br />SilDatun City Llceue JleaiatraUClIl . <br />.......................................... <br /> <br />APl'LlCAU" APftOVII) JT I'IMI1' 0f'P10ll. <br /> <br />,}Jw Sfr"-KfvlLoJ <br />p40sC''1- <br />L -i-.:tLs A.l\41J.~f'~ <br />j~VL . <br />I' ~ll{-. <br />