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115 5th Ave S_6pgs__Redacted (5)
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(DRIVERS LICENSE NO.) OR OTHER ID NO. DATE OF BIRTH CRY AND STATE OF BIRTH COUNTRY OF BIRTH PARTNERSHIP -PARTNER I NAME Last Flret MI ADDRESS ' Street - Apt. No., Unh No. City. State and Zip Code HOMEPHONENO.(_J OOL NO. (DRIVERS LICENSE NO.) OR OTHFdi ID NO. ' DATE OF BIRTH CITY AND STATE OF BIRTH COUNTRY OF BIRTH PARTNERSHIP -PARTNER 2' NAME Last Flml MI ADDRESS Street Apt No., Unit No. City, Slate and Zip Code HOME PHONE NO.( f DOL NO. (DRIVERS LICENSE NO.) OR OTHER 10 NO. ' DATE OF BIRTH CITY AND STATE OF BIRTH COUNTRY OF BIRTH NAME OFCORPORATION l.'G�1J��`��)(AIC QFEDERALTAXIDN0.24-1�-►(o�iS'y114 ��� CORP. ADDRESS_ S J t A U E S . EpKi ON DS) �A . 1 BOZO PHONE NO.(y,5C�O Street Suite, Apt., Unit No. City, State andZ p Code ' CORPORATEOFFICERS: Last Naive Hret Name MI Tide O No. LOCAL � 876 G94 MI Idle; Phone No. DOL No. (Drivers Lia No.)o! o. J BUIWINGL)EM O'APPROVE ❑DISAPPROVE GATE -SIGNATURE. - OCCUPANT LOAD' 8UILDING PERM(T OCCUPANCY GROUP ' COMMENTS. FIRE DEPT. "GAPPRQVE 0DISAPPROVE DATE SIGNATURE. ' COMMENTS POLICE DEPT. O-APPROVE 0DISAPPROVE DATE _ SIGNATURE' COMMENTS ., :. .. .. .: • - .. ,..' .. ... i I QQ I�'z{ DN 43 A� EIHE DEWHIMMI CObA rEIlE8 WEEDED ® AE2 ® NO rEIlEH NEEDED ❑ AE2 ❑ WO d 8 8 d 8 DV1E: 3 1 HECEIAED D1260211100 3 1 S e HEInbo HECEibl e S e ME: 2ECIION 2 J 12 CODE J 2 rEl1EH 2EWI wnneEH d NOftllIOV12 NOrtllIOV12 ME: 102bEC108 COWIVCIED: bHE-CIIVIIOW ClltlllOVl 122nED DV1E MbEC1O8 DViE 3 IV12bEC1OK S CONIVCIED: CONIVCIED: J bEH2ON bEH2OW DVIE DnE: bE820N DV1E DnE: C8tlV11ED 10 DVIE DnE: CITED M HE-MbEC110N Su4 HE-102bEC110A EXIEM210H 61NVr 8E-I142bEC110V1 AIOrV110V12 8 , 8 e e 2 2 t. ` J J HVSVB02 EOnAD VVID rOCV1ION2 \•COWWnNICV110V12 EAiE8 CODE ONrA OVICE ► AIOrtl1I0N CODE LIRE EE 1 VIVNE Ob MbEC108: bE820N COWIVUED: 10111Vr MbECAOM ME KEA'VCCE22-5: ENEBeEMCA- J en2IME22 OMME.H: HMO& V4iFG VDDHE22: I:gwouga wvlrlv�e •�. .i d 22�t3 ��� � Bn2lME22 VIVNE: F=gwC uq2 H0wG2lG9cl C0UGG rocVilow: 442 21P VAsuns Sze 180 ! 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