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T OWN OF LONG VIEW °
2404 FIRST AVIENUE. SOUTH WEST
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LONG VIEW, NORTH CAROLINA 26602 3 2
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1907
Zoning Permit f or Service Change
Permit number 0 _ �-
Contractor: 130 om L Ae P& Hcaf ; u J . r (onal , ¢ sot)1 / l
Contractor address: PO. boxJO6 HaAA, ?S43 _
Person Sning App_ -Name & Phone r4d tt!'l'tSOn M - 3;a. a 5410 3
Contractor Phone : 39 — f I 3�
Long View Privilege License Number. "
Person Requesting Work (if not Owner) —
Property Owner. &rou 0 4 - e Pope/'4,e5
Owner Address : P f30?t 65 1 I t 1 c- or A as(10
Site address: nd - 5 5 W Nye k - f i --
Zoning C 5
Parcel Identification Number: Catawb /Burke rf q 204 V 9 99 7
Use of Property: ; f; f on nnmeo-c-' L _
Project Description: (type service change) e CGt ,i eW �� 7t"ul a�lOfl
1, the undersigned, understand as applicant that this permit fulfills none of the
requirements of a Zoning; Permit for Occupancy or Occupancy under the Town Code
of Long View.
Remarks:
pp icant nature Date
I�P I"
Authorized Town Employee Date
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License No: -25463
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