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TRLOT2016-4216
DATE OF ISSUANCE:OV PERMIT #: 1 t42---- APPLICATION FOR CHRISTMAS TREE LOT FEE: $25.00 THE UNDERSIGNED HEREBY APPLIES FOR A CHRISTMAS TREE LOT PERMIT FOR THE PROPERTY AS HEREINAFTER DESCRIBED: LOCATION OF LOT: ADDRESS: -c-ea LOT: BLOCK: SUBDIVISION: NAME OF BUSINESS: Ore'- PROPERTY OWNER: 7I ,�,;�e,e' 2 CURRENT MAILING ADDRESS: /96 © , CITY / STATE / ZIP: PHONE NUMBER: QZ33 TENANT: XI cue , CURRENT MAILING ADDRESS: CITY / STATE / ZIP: PHONE NUMBER:2 7/5- WILL THERE BE ANY SITE ALTERATIONS? YES NO IF YES, SUBMIT SITE PLAN SHOWING DETAILS. I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THAT THE SAID OCCUPANCY IS IN CONFORMANCE WITH THE INFORMATION HEREIN SET FORTH AND IN COMPLIANCE WITH THE CITY OF GRAPEVINE CODES. PRINT NAME:15'220? SIGNATURE: j� - YOUR PHONE NUMBER: Z/5 7y 367 13 7 JTi *********************************************************************s;�* ***** FOR OFFICE USE ONLY APPROVED BY: J DATE: 11. 1 • (4) DISAPPROVED BY: DATE: APPROVED BY INSPECTOR DATE: FIRE MARSHAL l 5 JaY) 1941 -IL DATE: 1 I . u • 2 16 BUILDING OFFICIAL DATE: Development Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165 Fax (817) 410-3012 * www.grapevinetexas.gov