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DATE Mt
y 1. 1972
TO: OFFICE OF CITY TAR ASSESSOR
Your attention is called to a building change at
(101)
33 Grove Ry , fir. '_lan Julin
(No. ) (Street) (Owner)
SID Grove , Block ----
Lot 4 leasE. 35' & E 50'. of Lot 5.
REASON:
1. Fire doing damage in amount of approximately $10,000.00
2. Building or Buildings moved from property, leaving
buildings on property.
(number)
3. A Buildings moved onto property.
(number)
Remarks:
Fire >r72-175
Signed L`�
Department Fire Diept.
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