Loading...
Support c;i�iY Ut' U�LHAY ��a�r+, rwrc�uA , REQUEST FOR � �NEM ADDRESS OR CNANG� OF AdDRESS --_________.._____..__.._____________________________________________________ �AME � e !S KPS� Q u�c��? -��C. _ ADDRESS {�(� l�� r)C /079 PHONE N0. �13_ yy�- 3Soc� �h : ���r-�uc��er- J ��.. � �6 ! `J' ,d�c,.�e ��� n LOCATION LEGAL DESCRIPTION SU� BIACK LOT . " DATE � SIGNATURE ` � � ..--------------------------------------____----------------------------____ TNE FOLi.Ow1NG ADDRESS HAS BEEN ASSiGNED TO THE ABOYE: y�� c,v ��-1�,��-�� ��. _ . . ����lG APPROVED 8Y � - - ,/ P4dUNITY IMPR EHENT DEPT. DATE iJY_? YF -i j. �-f..�.��.�;r�c�� ---------------------------_---------------------�o��ow �n `-3--Pc�- � i n� - COPIES TQ: Iee - �'I�, c� �or �e��e/S • POLICE DEPT ADMIN PUBLIC LIBRARY u,; << � � S; �5 d�.��� UTILITY BILLING POSTNASTER ( / � , �r , QG� � n Y�� rn � � "'t ENVIRONMENTAL SERVICES 9 1 1 K GbdT FIRE DEPT SO BELL �a y 3 �b I b �l Oa� O O ll CITY CLERK /a <{3 �1� ! 7 O6 aa4 d ySc� N'ASTE �IANAGBMENT PLANNING Community Development �a�3 yb '� °6 oa9 DO60 CO�E ENF�ORCII�Nr �� �� � � � ay34e e8 ,�a �eeB�