HomeMy WebLinkAbout274513-001l<
4+e7 fINGLt.ra�t n_v OWI a INr
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taco 77 .49
OWNER'S NAME i; .e/0a /1, hU&r
• SWUNG AQORESS &✓/sL F/r/ Ap N !n�+i-►'+ �
PROPERTY LOCATION
TAX PARCEL NUMBER
STAT UL4
Owner
t N 1 t L�a't/ hetr0y dtelero the the dwelling odlYaf d on Town of Ithaca Tat Pan! xo.
� 5
is a setteatre used eadushnl o s i lafam i resideeMe.
Addms y h
The strueuut li hqt divided Por ay edw use than a single•ftmily dwelling. I w mtmd the a dwelling unit is a space that provides
i ileePinR,aahita 1% tag and living 6011des in an independent aro& wPena lttnn the ewe of a building's hell tlee. No pat ormy
y
ce M!iNleig, lneluday dwAlmigmrmt or teller. or any odor poaion is utilized or will be utilised for a w wW dwelling unit. Fwdl mam, no
4*" or fm en Paid by a anent for occupying a wand dwelling unit.
# t tihetller dselw tut 1 will hotly hhe Town of (duce of any change in the eimmilin dalMlied above. and the I heroby egtte that qn
PWa dub wthoMted by dw Town of ldmL upon Mandlfcarlm of Ibennwlvm and a deelereeigt of *sir
PuMm. shalt haw dta right, oa
tied dayt'aenlerf: Is esraW dw owna a ProM„y and mords. and a anar upon and intPaa the Premises. and to Inputro into the we and
MAW aW W of any Pfto of da Wwnn as habitable Space or UPIN r d"Iliftg um 1 W Mgam dw by Signing oaf emd"lt I may
ndd a dera8ing an& as my home, by obotlaiag a To" of Ithace Building Permit through eanpiimm with all applicable T�n n jphtdotu
s�z
v
1 aMly. under pwyley of �ryeey. tat der abew statatnentes zero trw and correct. n
win
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camp ns 'Donny, as: �mM �
u
Neu
Ru0110
ed on the �, a
of` rt r xca .y 20..i�.L. la
at
o'clock. M., in fiber
of�—y at page
and examined.
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