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Lot: Block: S utbdivisio, <br /> <br />s~m: f'... 'Y'O ' ,¢ <br /> <br />/0°'4 <br /> <br />' PI~EA~E DESTROY <br /> RECORDS <br /> <br />I certify that thc above information is accurate to the bcs~ of my knowledge, <br /> <br />~U~ng^~: .~ ~ /glo& ..¢,4 6~ P~3o~-- <br /> <br />MC: 15-~0 <br />lqcv. 11/91 <br /> <br />PLUG: <br /> <br />PUBLIC WOKK$; <br /> <br />BUILDING INSPI~C'I*ION: <br /> <br />Date: <br /> <br />Dat~: <br /> <br />Dam: <br /> <br /> <br />