11-236-002'bo
t.-ZD
C%A
tb
ti
U*)
(Yet*
-- ----- - --- ----
t- srrnit NQ, Addross:
dd
CIT
0
',CAL
Y
7 L
-- --------
t3
77
CZ
_"r must ay
2. 1 his t d U
3. REVIE"^,Tg F(N7, CON COQ''" VVCE
0// 0
MIAMI DA DE FIRE RESCUE
Process No:
UniCi al
un
m icipal Ins No:
Project Name:
Address: 57573-9'7 4411
INITIAL REVIEW
Date Appraved Disapp Not Applicable
1�pplicatllo
—
Revis ion Process No:
Date --TAp—pro_v—cd_T
—THIS IS NOT A PERMIT. MUST Pi2OVID ETIRE
MUNICIPAL INSPECTION REQUIREMENTS Ahr)
E
RECORD CARD AT THE TIME OF '- A "r FI- RE IriSPECTION.
D
:1LAN RENIEW
DEPARTMENT �.C- N TA L
Y �ONME
RES r-psZK", IENT
CORE REVIEWER RIND: 777
SIGNATURE