23402 76TH AVE W.PDF111111111111
6420
23402 76TH AVE W
FILE
T I M)F,: ;Z
F� L I C, W S DERLF�TM�fN
REQUE�3T
F"HONE
c 71 C) N 741-1��IKE N iris 4- VaL
00
A-OJ4F B�ZB W41 lo#Aoe-o
"o -10� -14,0946e:-44-) 40145�
-El'�T' :I- /'R6A) 7"lAol
C:) rz --T a
WOW
APPLICATION
for
The City of Eclm I—SOL& SIDE SEWER . PERMIT EASEMENT No . ..........................................
VFW cu c NEW CONSTRUCTION 0 REPAIRS []
2 e5n-e-iaa
0 irNER ----
V -nscnLl, .... T!�-.Vt ............................ ........................... CONTRACTOR .................................................................................................. PERMIT No.... ...................
ADDRESS .2."54.0.2 ..... 71.6th ...... Ava,-..W .....................................
0-
4
LEGAL DESCRIPTION: LOT No.
NAME OF ADDITION ...........
................................... BLOCK No . .............................
- 'Jum(L' Icila
0\1Q, 7a�,s+(Ld On So -wax
Approved:
DATE................................................ By ......................................................