HomeMy WebLinkAboutMiscellaneous - 220 MIDDLESEX STREET 4/30/2018 nn 7T� -220 MIDDLESEX STREET `
210/014.0-0063 0000.0
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7/26/2017
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number: 25331 Date: July 26, 2017 CO Permit Number: 26699
THIS CERTIFIES THAT
THE BUILDING LOCATED ON: 220 MIDDLESEX STREET
MAY BE OCCUPIED AS tennant fit up - Mikes Market IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS
STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
1 Certificate Issued to: GIGLIO-MIDDLESEX STREET
Building Inspecto
w''
This is an e-permit.To learn more, scan this barcode or visit northandoverma.viewpointcloud.com/#/records/26699
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5/24/2017 f 4` 8 Z r
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Town of North Andover No. 25331
BOARD OF H ALTH
Food/KitchenL'�\
Septic System:
, PERMIT TO UILD
BUILDING INSPECTOR
THIS CERTIFIES THAT GIGLIO-MIDDLESEX STREET Foundation: '
has permission for the following scope of work: interior remodel,located at 220 MIDDLESEX STREET Rou
to be occupied as Non Residential Building m ey: � ��/
provided that the persons)accepting this permit shall in every respect conform to the terms of the application on file in this office,and tFinal:
the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Building in the Town of North Andover.
VIOLATION of the Zoning or Building Regulations Void this Permit. PLUMBING INSPECTOR
Rough•.
PERMIT EXPIRES IN 6 MONTHS Final: s,
UNLESS CONSTRUCTION STARTS Roup,�eP,6g1 ,
e:
dFiin7a]:
BUILDING INSPECTOR Rouou INSPECTOR
gh:
Final:
Occupancy Permit Required to Occupy Building
FIRE DEPARTMENT
Display in a Conspicuous Place on the Premises - Do Not Remove Burner:
No Lathing or Dry Wall To Be Done Street No.:
Until Inspected and Approved by the Building Inspector. Smoke Det.:
This is an e-permit.To learn more,scan this barcode or visit northandoverma.viewpointcloud.com/#/records/25331
7/26/2017
•
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number: 25331 Date: July 26, 2017 CO Permit Number: 26699
THIS CERTIFIES THAT
THE BUILDING LOCATED ON: 220 MIDDLESEX STREET
MAY BE OCCUPIED AS tennant fit up - Mikes Market IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS
STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: GIGLIO-MIDDLESEX STREET
Building Inspecto
N ., .0
This is an e-permit.To learn more, scan this barcode or visit northandoverma.viewpointcloud.com/#/records/26699
r
1/1
TOWN OF NORTH ANDOVER
2 6 200 .
BOARD OF HEALTH
27 CHARLES STREET
NORTH ANDOVER, MA 01845
TELEPHONE # (978) 688-9540
TOBACCO SALES PERMIT APPLICATION
Date:
Establishment Name:
Or-
Business Address: 446
Mailing Address (if different):
Telephone: 97S �9?- c crpl> of
Applicant's Name &Title:
Applicant's Address: q f cgd/Ly
Owner of Establishment (if different):
Corporation Name:
Corporation Address:
Emergency Response Person: ,VAU)
Telephone: (o3 &ct j-4, i Business: 978 Z42 L{Yop
Revision: 8/5/98
Enclosure
Fee: $20.00 Made payable to the Town of North Andover
A late fee was implemented by The Board of Health, if you do not renew by JW V the
fee will be $40.00. ��.�
tORTi
OFttte eb�ti
F A
�9SSACHUS
THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF NORTH ANDOVER
BOARD OF HEALTH
Date: 8/30/02
Permit # 110-2T
Fee: $ 20.00
This is to certify that: Joe's Variety
220 Middlesex St.
No. Andover, MA 01845
is hereby granted a...
TOBACCO SALES PERMIT
This permit is granted in conformity with statutes and ordinances relating
thereto, and expires June 30, 2003 unless sooner suspended or revoked.
Francis P. MacMillan, M.D., Chairman
Cheryl Barczak, Clerk
Jonathan Markey, Member
tkORTil
Of�tLtiD 16790
6 O`
Town of North Andover
D.B.A. —Zoning Compliance Form
t
D} cne�p:.sr
978-688-9545
S�CHU�
This form must be reviewed with the Inspector of Buildings.
Office Hours are Monday-Friday 8-10 am,and 1-2 pm Monday-Thursday.
Applicant Name: 9JLLL Name of Business:
Address of Business• o O /t 0 ) Zoning District
Map u 14 Lot co-P 3
Phone k-17) ��c DC7 Email
Nature of Business:
Do you own this property? Yes No
If no, written permission is required from your landlord.
Will you have clients coming to this property? Yes V No
Will you have any employees? Yes�No
Will you have any major deliveries? Yes No
,cDescription of Business Activity(Must be Completed)
Signature of Applicant
For Signage Refer to North Andover Zoning Bylaw Section 6
The proposed use/j$an all ed use in this zoning district.
Issued By Date S y P a! _
., tt11
Location Z 2�' `��`� lcX(��ea �(
No. 41?aDate
gORTh TOWN OF NORTH ANDOVER
F
a
Certificate of Occupancy $
sCMUS Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
" TOTAL $
Check # l, ,S-
1 7 C 6 8 �[ Gw--
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
«,.sc n...�".. vj,�S,2Y.wx'✓1n f � : :,U 4 % _ � �."'' ....0 � �'ro t q °�$ - F � .
i h a 1F
BUILDING PERMIT NUMBER: DATE ISSUED. 5�
SIGNATURE:
BuildindCommissioner/IEEeEtor of Buildings Date
SECTION 1-SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
t C�3
Z ?D Z Z L (l.Y e S Z)[ Map Numb Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
_ — V
Zoning Distrid Proposed Use Lot Areas Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Required Provided Required Provided
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System:
Public ❑ private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record
0
Name(Print) Address for Service
Signature Telephone
2.2 Owner of Record:
Name Print Address for Service:
�1
Signature Telephone
SECTION 3-CONSTRUCTION SERVICES 00
3.1 Licensed Construction Supervisor: Not Applicable ❑
Licensed Construction Supervisor:
i License Number
Address
Expiration Date
Signature Telephone
3.2 Registered Home Improvement Contractor Not Applicable ❑
Sins e-7-2k,q(,se-_S :�tC
Company Name M
5-5 ��i �v� ��� e �� ����f` Registration Number
rM
Addr s
I.
C) �S � Expiration Date
Si na a Tele hone G)
SECTION 4-WORKERS COMPENSATION(MLG.L C 152 § 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes.......❑ No.......❑
SECTION 5 Description of Proposed Work check au applicable)
New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be U)E?FICIAI,USE QNLY
Completed by permit applicant
1. Building P (a) Building Permit Fee
Multiplier
2 Electrical (b) Estimated Total Cost of
Construction
3 Plumbing Building Permit fee(a)X (b)
4 Mechanical HVAC l
5 Fire Protection
6 Total 1+2+3+4+5 Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUII.DING PERMIT
I, as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf,in all matters relative to work authorized by this building permit application.
5ignature of Owner Date
ECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
1, r6se Ji)m e.i e- ,as Owner/Authorized Agent of subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief
ri Name /
zoic
r a of Owne;Lent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR T&MERS 1 ST2ND 3RD
SPAN
DE\4ENSIONS OF SILLS
DINIENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIIVINEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
' e
•' The Commonwealth of Massachusetts
Department of Industrial Accidents
Y` Office of Investigations
F Boston, Mass. 02111
Workers'Compensation Insurance Affidavit
I _
Please Print
Name:
Location:
City Phone
aam a homeowner performing all work myself.
3
I am a sole proprietor and have no one working in any capacity
I am an employer providing.workers' compensation for my employees working on this job.
Company name: .S �fi' le e
Address 9 IW8--
CiPhone
Insurance Co. ZVr!c ► C't 10,041 Policy# 71(o ZA 1303
1 Company name:
Address
City: Phone#:
Insurance Co. Policy#
Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00
and/or one years'imprisonment as well as civil.penatties in the form of a.STOP WORK ORDER and a fine of($100.00)a day against me. I
understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
1 do herby cert and the 27aftles of perjury that the information provided above is true and correct
Signature Date
Print name JaS'r J%Yt est e Z Phone# 97Y-St,9 -mss'
Oficial use only do not write in this area to be completed by city or town official' E] Building Dept
❑Check if immediate response is required Building Dept p Licensing Board
C] Selectman's Office
Contact person: Phone#. E] Health Department
0 Other
FORM WORKMAN'S COMPENSATION
i�
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 140898
Ex iration
p 12/2/2005
t Type Pate Corporation
r' E
SMS ENTERPRISES INC #
JOSE JIMENEZ
North Andover Building Department
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building. Permit
Number is that the debris resulting from this work shall-be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
c11, S150A.
The debris will be disposed of in:
IF
(Locatio of Faci ty)
I
Signature Permit Appli ant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
I,
ENTERPRISES IINVO
Home Improvement • Lead Removal • Asbestos Removal
February 18 2004
Natalie Giglio �P J
222 Middlesex Street
No. Andover MA
RE: 222 Middlesex Street
S.M.S. Enterprises Inc. is pleased to provide a scope and cost necessary for
removal and m of roof
mg disposal materials, located at the site above referenced
P g
address. Price to perform the services is $6000.00
Six Thousand Dollars.
Price Includes:
1. Replace insulation with 1/4 board.
2. Place 1/8 rubbepq aterial on 14 square feet.
3. Place tar the chimney, pipe.
All permits and fees as per Local, State, and Federal Regulations
The actual removal and replacement Process will take approximately two days l
from the start date.
If you have any questions or concerns, Please feel free to call our office and
Thank you for your business.
spectfu 1 yours,
t! e
j` ose J' enez *signature of Acceptance
Estimator/Project manager
*Print Date/
255 Erving Avenue,Lawrence,MA 01841
Tel: 978-738-9889 • Fax: 978-738-8988
Nvrc � p�
® of b ®ver
. 0
No.
- LAK dover, Mass.,
COCHiCMEWICK
ADRATED 04
S U BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT...A)A.U.PS..........C.c.9-to..
................................................ . .. ......... Foundation
has permission to erect............. .. p...... ...... b sidings on ....� ��' ,/�, ��` M.r Rough
SAF ..... ......... . .. . .................. .......
t0 be occupied as �- Q'r hoo s ��� C��•• Chimney
p ........................ ...................... ......................................................... ......
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By ws relating to the Ins ction, Alteration and Construction of
Buildings in the Town of North Andover. �� G3 , o PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STTS Rough
r ,
Service
.. ... BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Nall To Be Done FIRE DEPARTMENT
Until Inspected and.,Approved by the Building Inspector. Burner
Street No.
�a
SEE REVERSE SIDE Smoke Det.
3 56 :3 Date...A.
NORT.��
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
��ss�causE�
This certifies that /......teG?.`�./.. %/
...
` gild
f has permission to perform ......../�.................................................................:..
wiring in the building of ) v S V Q P2 f
...... .......(............... .......... t .........................
at � l.f.S.5E�L�ECMI;C�AL
� .: Orth �dor•,Mai
Fee..f..11(J. v.. Lic.No�.:))A .:. ... 1.. ...
INSPECMR
Check # L �/
hs—\ spommonweaiur or mtassacnubeaw
Permit No.
Department of Fire Services �T
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS ev. 11/99] eave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),S CMR 2.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:
City or Town of-. i!^ To the Inspector of Wires:
By this application the undersigned gives notice ofofjhis or ba intention to perfpo a electrical work described below.
Location(Street&Number) 10 /v/I �7 .
Owner or Tenant -7e s Telephone No. - 0 0
Owner§ Address
Is this permit in conjunction with a building permit? Yes ❑ No I'll (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Ams / Volts Overhead❑ Undgrd❑ No.of Meters
P _
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work SS 'c
��t'�, r, ,�.
Co etion o the ollowin table be waived b the I for of Wires.
No. Total
r No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans Transof formers KVA
No.of Lighting Outlets No.of Hot Tubs Generators KVA
No.of Lighting Fixtures Swimming Pool A ave ❑ n- ❑ o.o Units Emergency Lighting
g g '� g d. d. Battery Units
No.of Receptacle Outlets No.of oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners o.of Detection an
Initiating Devices
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers. eat Pump umber o, o.o Se ontained
P Totals: Detection/Alerting Devices
MuniciNo.of Dishwashers Space/Area Heating KW Local ❑ Connection ❑ Other
! No.of Dryers Heating Appliances IW Security Systems:
rY No.of Devices or Equivalent
No.of Water KW o,of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP eleco.ofD v ations firingl
No.of Devices or Equivalent
OTHER:
Attach additional detail ifdesired,or as required h9 the Inspector of Wires.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including`bompleted operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify: e es- 3 a-
(E piration Date)
Estimated Value of Electrical Work: O O (When required by municipal policy.)
Work to Start: / o d- Inspections to be requested in accordance with MEC Rule 10,and upon completion.
I certify,under the pains and penalties of perjury,that the information on this application is true and complete
FIRM NAME: ,�i H LIC.NO.: L 3o?76/
Licensee: u fill Signature LIC.NO.:
C7
m t"in the licensenumberline. us.Tel.No.:EO - 'ayLV�
(IJapplicoble,enter`eze p ) B � ��
Address: �7/ Gcl/�i�•� �,� j/ �c� /,/oak;'x'77` Gz1�/ 4�/O� Alt.Tel.No.•
OWNERS INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
've this uirement. I am the check one owner ❑owner§a ent.
m i tore below I hereb wat
required by law. By y s gra y �
Owner/Agent , OQ
•-- Tnlnn6nna rJ� PERMIT FEE: $/(� __
K/� �_ w
- � � � 'S"
..
7f
j'
ii
'. 7
Location 2-
No.
No. 0,29. 9r Date �$
40RT" TOWN OF NORTH ANDOVER
p Certificate of Occupancy $
16.
L 1° ; ; Building/Frame Permit Fee $
Foundation Permit Fee $
s�cHust
Other Permit Fee S $ /oo
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ /yv
CBuilding Inspector
12647 06/26/98 13:10 100.00 PAI®iv. Public Works
Location -r-
NW Date
4
NORTH TOWN OF NORTH ANDOVER
n Certificate of Occupancy $
4.
41
• . ,s .
Building/Frame Permit Fee $
s�cMus`� Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
i
Building Inspector
06/26/98 13:10 100.00 rnrn Div. Public Works
O* t-A o R TM
6 Ta
AcOC,'C awica
9S 'A TED AX
'AcHUsf--�
TOWN OF NORTH ANDOVER
SIGN PERMIT
DATE JUNE 19. 1998
PERMIT # 029-98
THIS CERTIFIES THAT NATALIE GIGLIO - JOE'S VARIETY
has permission to erect (2) 8'-0" X V-3" EXTERNALLY ILLUMINATED BUILDING SIGNS
On 220 MIDDLESEX STREET provided that the person accepting this Permit shall in'every respect
conform to the terms of the application on file in this office, and to the provisions of the.Codes and By-Laws
relating to the Sign Regulations in the Town of North Andover. Violation of the Zoning of Sign Regulations, Section #6,
Voids this Permit.
Inspector of Buildings
NOTE:
ALL OTHER SIGNS MUST BE REMOVED AT THIS LOCATION
140RTh
6 to �
_ .. 0 .
L
rn
„. .
AA coc,ncMc.,,,c., 1•
'9S O"?1 rED'^Pn`��5
.3 CHUSE�
TOWN OF NORTH ANDOVER
SIGN PERMIT
DATE .TUNE 19 1998
PERMIT # 0.29-98
THIS CERTIFIES THAT NATALIE GIGLIO - JOE'S VARIETY
has permission to erect_2L-8A" X V-3" EXTERNALLY ILLUMINATED BUILDING SIGNS
On
220 MIDDLESEX STREET provided that the person accepting this Permit shall in every respect
conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws
Sign Re ulations in the Town of North Andover. Violation of the Zoning of Sign Regulations, Section #6,
relating to the g g
Voids this Permit.
Inspector of Buildings
NOTE:
ALL OTHER SIGNS MUST BE REMOVED AT THIS LOCATION
G.
f _ s •• vi t. i". . � �
.s , _ t' . Fes." L •=f i.
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ISSACHUSt
TOWN OF NORTH ANDOVER
NORTH ANDOVER, MASS
SIGN PERMIT
DATE �tt�c J8. Ig98
PERMIT #
THIS CERTIFIES THAT, `/V i4't"pt-(,�� -t Ct�+•�c� c� s Vo*ale _L1
has permission to erect.(?a— $L,611 . �` '3'' toCtt'12t��rCL•-t �(.C,�,�,t,,,tiu,g ) s ig- 13uiCa�►-�C�- �►4'�ys
on 22o Y���j'{,,�--S:r,� -�t' — provide that the person accepting this Permit shall in every
respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws
relating to the Sign Regulations in the Town of North Andover.
Violation of the Zoning of Sign Regulations, Section #6, Voids this Permit.
Inspector of Buildings
N o��
LL
Y -TOWN OF NORTH ANDOVER
SIGN PElEiA9 rr APPLICATION
Site Owner /C. , �/ L%Q ApplicantJ4,e_ 4w
Site AddressSize of Proposed Sign l0
How attached: (a) Against the wall
_ (b) Roof O - Illumination: (a)Not ilhiminated ( )
(c) Ground (b) Internally illuminated ( )
(d) Other ( } (c)E?ctemlly illuminated �
(Py yood24 QrF�£'M�oZLr6{TS b�'F1�<?/trrr.gw�
Proposed Colors: Background Gill? T� Materials:�—GAO— W 12 !� �v kli,vv ry .
Lettering /3L1( d oGv C,4e
Required Attachments- Note:
Photographs of building No permanent/temporary sign sball.be erected, or
Material sample enlarged until an application on the
Color samples furnished b the Si Officer has been filedl� the h
Site or Plot Plan (Required for all free-standing �(� Sign Officer contauiing such information including
photographs, plans and scale dra%&in s, as 6 ma MAY 4
1998 I _
DraNti7ngs of proposed sign I� require, and a permit for such erection, alts ration,
Other,
6specify or eaJageme�t has been issued by hm Suh pr eetr$u �t"�;
,--
e /.,(ars-
shall be issued only if the Sign Officer Betet
� c <iG Cj(•s�!'� -S'/G �"S" that the sign complies or will comply with all
applicable provisions of the By-Law.
M0741 r v®o�,, rss�e j,YSf6J,
Will sign overhang any public road or walkway: Yes( ) No (� /6� ���'��' 1 a.� lav 1�►"'� `''�s/�2S
4e A w5 4a
If Yes, Name of Agency who will provide liability insurance: ,aoA*, lVe -If e7e 111�"/i. 1�,A 5 0 a-14 z F71 '
�00 r L
.AN INCOMPLETE APPLICATION WILL NOT BE-ACCEPTEfl.
Date Filed:
7-D /2: : ` Signature of Applicant
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JOE S
_tis VARIETY
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