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PROGRAM ELEMENT �fQQP ('{�J/(/(-,2 X65-4C/ �\ AREA O / <br /> ADDRESS $9colu 7-S�A / rn�p 3 (A4,91K aM,2) CITY <br /> IbNER h&nt'120 1� I Pi() PHONE go-'1- 79761 <br /> ADDRESS P Q 80Y 34-3 zhxkf(w c/SOI CITY <br /> BENEFICIARY PHONE <br /> ADDRESS CITY <br /> TENANT PHONE <br /> A•'N LOT SIZE SHORT TERM <br /> IDENTIFY STRUCTURES <br /> PERMIT # 63-711 DATE PERMIT # DATE <br /> N <br /> T <br /> Q ❑ n <br /> a 14 10 <br /> r <br /> 1I Q <br /> a oQ <br /> 0 <br /> 2 <br /> v <br /> f7�Y� <br /> EH 00 18 REV 11/79 <br />