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I, '+f Jli 6ia[i�il,i'� a=a1 Ytd ! Ir.}� '}L� 3 PJ,v"".[ �9:8i '!� -
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.To the Hotel Commissioner, 1, i s :.fli Tear 6 It.l
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I,s Through.the District Su 7ervramn rehete ,i y. d t a x- ,.. I
Jx �si i,9Y, Urt i+ T7'.'{y, T ;,`r51}(�:,i`I:7 7,C�. si(:rF 7:t,'.
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e:uii(i�lrn' n xab< lie ._..for-• DYLb,�t�t, � } .
ai Lq, 1p�T1fP ' 7 -1�1�_�� [ale oA1 ��•rnisOs n}id specif; sOns su'tR,� �ed tII,A�„+.$with,; t .
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Street'Address�' v J : Amountt ofIee enclosed rsl A t '
e (See 6ra1e on back of Application)
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City.'or�4Towiir. '.. .�'Lk ,_�Zr., +,ar,r �,[.'lDlrar, �I� rn�ri�,rs;[ +
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C: iCI'3oi`,OiO�ddfr98a:1 a ti
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e: �- '`'• �T Sytate� ,,�,� ,near building,for whie}i,: County: . ��
I;I;. .. _. •-County G�rr�•.",�,{� "l. � ,r
_. ; i.n ] '•'r.y �!. T'=�'t,�d,r, .���'�-' '�}'� "Aij1 £ 1. .i1
} - - - r J:c;,f.A .��` Giid�' 1� 1 ly.J• ., $r;'.YDI ° fV`111"fST p �L� r_. 'sal ., - - .''..'
," r Classification: Hotel Rooming, louse ❑, Apartment,louse Ll, TenementI onse p; Restaurant'„p. ('- •;
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" r11F;.1 .a:•i f' Ir 111121
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'!I. w7 (Place A mark..iii .block app6(it'�7 appropriate wards) � a' t '.* -,
Y;. �• New Building 0.. r' hf 6 1 lrl 7r,F>t; i t .
' . . � Exterior- . - Building AAddition Remodeling P�,. Interior I2emorlQhng �; Existing B 'ng p
!I; , iiQ r r: (Place'X niarpc,in block-o,aatte appropriate words) i a,
1 t k z3l fEf!"t' ¢I tii.�F itd�r Y , (�Sl{i fry r �( 1 TirCr r��'1l �r f7ro�:,C{r. 1 �
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� � ated cost' of improvempnt� ;ra Daje Eof begmnuigr rr '.41
- --r.,�t rt�..'��,( �!'�:r�l✓�9`� 3risOtr'l. d�[ #� •�r r' ..
- bs neLdmg re fty,or equipii� t' :$ t of struction'v,�!ri � a
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ill 'iaOti [11 ' Ztrl _ I[,)r'11LY (}t ;i�c (�! Tr :ji]'1, - O(t'I '1 .Ol7I (4111 [t 'II .
}:
e of-Constriction Firer,pr€Oof 0, �R zC1 `t i Cdr'y (t Frame p°(,?( I'Y IJ. suro 'ill= 1
; (Place.ArFm�rlc in black oppva:te:appropri7�fe worlds) r r_ t �(� T i 1`
fl'€{{l11 i 1 .�:1 t! �>.- ., �s.r4�7�}'�' k tS t��, .k•.. 'F
7 '"�`�� ' .r l
- = Total'number.•of Roos.-upon. which fee as based�(bath room s '- � ���� -�'1�+ LLL . .,
4 are .not incl des 1n-Hot@l;IodrnM/1o1is ;tl p Y lrfeti°Et �uJ&�ar 're$Hiii� - cs'ta :lB'�z1 Ttl°a t ,:!"t F I
r '4?`J :Y ,��Y}!`�`� 1.'cS TT i�`if;rall:li� ii? �"i."_1�'.�s,l +��""'` 7i' � - ••T2btat�i?a £ ithont
., Restaurant—Number of''�ea�s i�gon ;t74r -•
i. �. sea
[II I rvahich fee is based • ting-sccommodations:
1r .. 44s.n]" ht;tt 1 1Y._,,,I, - , s I, _` - -
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'�•t�it�vays4---Number of'InterDior � ,, � IVlliiriber of Exteigri Including fire.escape )s. :�f,_r• t ` ,5/'
00 i'i r✓ tst .tk.} . I7L t 94i Lr',C I t,;[ i. - 0ii- - If7 ` tt7t.it (II racy : '£� C
k! lEle#lators —Nu5nbgr for pasteiigers ric °i z�. u0'. Numbs eight r for fr �I ill
Ltd, ' - ('4I5 • r77 .}. l.Ii-r,3' rliriJ t0(�s4 I D}�.t (40,) Fixtrl�( £irk
` - Y Heating -System Kind:_ 0' SI Location in Main Building or in Detached Bui]ding '0.
s Electric Wiring, Rigid 'Conduit p, rlr rrry�I FCt �rre' �' xv FtPiD 4
1•I � � 'Ar im�i'ec��L'airie [�� Nidi�f 1�iY��allte S� Ik1 Cable p �•
(Place. X mark in block oepoeete appropriate `'zords). q q
i'.'.(t4 I";'(II t '1. d•l4'1 rTL$ 11' 1 .F i'C 34h t�j 11l C +a§ '
t I .:p_oh.. - yi 1 � ... Location—Give dimensions.,of re ert r make'sketch-, The.undersigned hereby agrees to comply with each:-and
I �# .,z' 1 � r of building ahQ�xu►g.;distaxiee� from t�11 prct'perty.line �--�E►licah� rtd W'dQr,ti
` evex e
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give name of:G�es``a�rfrolat atn7i��tl7 r rcre � -(lVinet be elan (i: w69fi:1�e�:� a s by see] ;
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�� Signed li' �� � � :t °. ,,,! ,� n Awner�a:•Agent .
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I ' '%'IIE 'E7NDEI€S%Gl+lEl� DESIGNING/ARCHITECT ARCHITECT_hereby. ..
I - , I- - Ik�fh'ms that all structural parts of the building as illustrated by .
I Ir r, r ,' I the 1draWm s and details and as.described'by the specifications
��; r toge'�'he �tl} all-Hates thereon',as submitted herCwith,.have
i . ' i ids n. b ea1d ted;'proportioned:and arranged according to the
ru - _ #jL f a.riz:'E! , best known Architectural Standaid ,and provided all construe
rt (k 1 tion work is.executed_in.strip t}conformity with every'part. of
4 +` j�. , 1 - the said.drawings, details and r pi�a ss the
of die signs
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sresponsibility r the_ assume
-• _.-.• _ _K -.. ture inclur7 n stru tral arts.of ehistmg-'buil4 insofar.as
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