54 NE 102 St (3)DATE: I ' t (' 6 6
Acknowledged by:
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 - Fax; (305)756 -8972
PLEASE PRINT
TIME: 2 • 2 cx1
NAME OF PERSON REQUESTING FILE: M A 4— CA-vii/' L L-_
PHONE #: S 16" v 3 7 YOUR ADDRESS: ( Z J
ADDRESS OF FILE REQUESTED: S "( N �. ) 0 Z 1
INFORMATION REQUESTED: 9 C ' & "\
I understand that all documents in this file are property of Miami Shores Village and
that NO documents may be removed from this file. You may get 4 complementary
copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not
including any blue prints. If blue prints are order please be aware that we are not
responsible for the quality of the printed documents.
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FILE RETURNED TO: INITIAL
Village of miavni Shores
•
JOB L T L/ -F ce- -
ADDRESS 4- A. 6 /o Z "`_
INSPECTION - Alec_
TIME READY Ia2. Q-m -
REMARKS
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NSPECTOR
N° 4144
DATE 22 - ��
THIS LICENSE MUST BE DISPLAYED IN A oONSPICUOUS PLACE
A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS LICENSE EXHIBITED AT YOUR ESTABLISHMENT OR PLACE OF BUSINESS
Village
THIS LICENSE EXPIRES net. 3 1 ,
In consideration of the sum of
License
Ism N° 1226
Dollars ($ 25_00 )
Paid to Miami Shores Village, Dade County, State of Florida,
Engsns L. Whitskr
S4 N. Z. 102nd St.
is hereby licensed to engage in or operate the business of
MIAMI SHORES VILLAGE, FLORIDA
Date Issued 347-56 By
THIS LICENSE NOT TRANSFERABLE WITHOUT THE APPROVAL OF THE VILLAGE MANAGER.
MSV 1954