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^'WPB-3348 UNITED STATES OF AMERICA WAR PRODUCTION BOARD STATEMENT OF CONFORMITY TO UTILITIES ORDER U-l-d, OR WITH THE HOUSING UTILITIES STANDARDS BUDGET BUREAU NO. 12-R1604.1 APPROVAL EXPIRES MARCH 31, 1945 NAME OF UT1LITY Lag Yag&a Land & later Co, ADDRESS (Street, City, Zone, State) 401 South Sad St, . Lao legae, Hernia. INSTRUCTIONS. - Four, (4) copies of this form should be filled out upon request of the Federal Housing Administration, Federal Public Housing Administration, U. S, D.A. County War Board, or War 'Production Board District Office. After it has been signed three (3) copies are to be presented to the builder, two (2) of them for insertion in his application file. SEE ADDITIONAL INSTRUCTIONS ON REVERSE SIDE TYPE OF SERVICE REQUESTED ? ELECTRIC ' 3fc] WATER ? GAS ? STEAM HEAT IDENTIFICATION OF BMILOER’S PROJECT Dxlve in loth & frmmt, L&s Yoga*, SaraAe. NAME OF BUILDER I* L« Mitchell 1440 Cottonwood Place La# Yagas, Hernia STATEMENT OF UTILITY - THE UNDERSIGNED'CERTIFIES EITHER ^1) THAT ’UT 1 LITY EXTENSIONS TO 'SERVE THE ABOVE IDENTIFIED PROJECT CAN BE BUILT UNDER THE CONDITIONS ESTABLISHED INUTILITIES ORDER U-l-d, OR (2) THAT, IN CASES WHERE UTILITY EXTENSIONS TO SERVE DWELLINGS WILL COST MORE THAN $10,000, THEY CAN BE B'U 1LT WITHIN THE HOUS1 NG\UT 1 LIT 1ES STANDARDS AND THE UTILITY WILL FILE AN'APPLICATION WITH'RESPECT TO THEM ON FORM WPB-2774. 1*9 f&gma Lund mid f&tox* Qmpmqr RY / . /J NAME OF UTILITY S 10 NATURE OF A UT HORl ZEO OF F 1C 1A L January S3, 1940 {Jaaeral il&nagej DATE | ;? . TITLE SECTION 3AIAI OF THE UNITED STATES CR1M1NAL CODE, 18U.S.C.SEC. 80, MANES IT A CRIMINAL OFFENSE TO MAKE A W 1 LLFU LLY FA LS E STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION. <*rO- War Boaiji| 12871H— p. 1
