Document 6BkoBzE3bKX3bLnr8V3qGnyYm
CP"'* 'TION SURVEY AND INVENTOR" ''EPORT
The buildings and other property set forth in attached
Exhibit I an the installation desorived in License *r permit of
day of ________ ________
, 1948, b tweon
of which this oondition survey and inventory is a part*
WITNESS OUR HANDS thisday of, 1948,
WITNESSES TO ALL SIGNATURES HEREON t
1..'____________
2,
WAA BY:________________
LICENSEE OR PERMITTEE BY:______________________________
EXHIBIT I
The following roads, bridges, culverts, docks, ramps,
approaches and adjacent land in the following oondition (it is
assumed nO repairs are needed unless otherwise specifically stated
below):
"
STATE WHAT REPAIRS,
ROADS, Etc,
CONDITION
if any, are needed;
The following buildings in the following oondition, (Unless
otherwise specifically stated below, it is assumed no repairs are
needed):
~
STATE WHAT REPAIRS,
Building NO ____________________ _ CONDITION
If any, are needed
Yfalls Floors Ceilings Partitions Roofs
Equipment and Fixtures as Folio wlTi
CONDITION AS NEEDED REPAIRS AS STATED BELOW: STATED BELOW:
Building No,_______________________
Walls Floors Ceilings Partitions Roofs Equipment and Fixtures as Fellows t
CONDITION
STATE WHAT REPAIRS if any, are needed
"' "
'
T&&&
CONDITION AS STATED BELOW:
' NEEDED REPAIRS STATED BELOW:
AS
(Add continuation sheets in above form, if more than two buildings are included)
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