HomeMy Public PortalAbout5335ALESSANDRO AVE_Building (2) ' APPLICia►T10 ,�FO,R FR LOCATION BU LD I NG PE MIT
DIVISION OF BUILDING AND'SAFETY BUILDING L 7�
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EXISTING BLDG T �}t/ �" FAMILIES RELEASED (s
I HEREBY STATE THAT E
FORMATION GIVEN IS I HEREBY ACKNOWLEDGE THAT 1 HAZE READ THIS
CORRECT APPLICATION AND STATE THAT THE ABOVE IS CORRECT
SIGNATURE OF �-�3!J Z 3 J AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
APPLICANT AND STATE LAWS REGULATING BUILDING CON TRUC
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ADDRESS l � L � � �iJ SIGNATURE OF
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JOHN A LAMBIE COUNTY ENGINEER Vl%IDATION CLYDE N DIRLA A CHI BLDG INSPECTOR
CC/K MO CASH
16920 "bL 8 ' 5 D 15 () C) , t
LAfo 1 8 8 7120' Au,, 2 3 6 D 1200 K-