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� � ; -- .. , ,;� � � -- <br /> �' ' ��' ' "' �� �:� LK '. <br /> '�-r, . <br /> L��� h�QY' 1 6.119A8 L,� ; <br /> �' � Y �� L'VfRE71 <br /> i'uLi'C L7J., ., Jcpl. <br /> Date: S �7 � <br /> To: Ben Edwards, Plans Examiner <br /> Re: Owner's Name: � �I�26G lQ0�1Ya� <br /> Project Address: �/� /�/��� <br /> Attached are the Repair Specifications for the above mentioned <br /> project. Flease provide CHIP the following information by <br /> initialing the proper box: <br /> YES NO <br /> Plan Check Requir�d: ❑ � � <br /> K�� d / <br /> �0 <br /> / � <br /> Please return this form to CHIP as soon as possible. a <br /> Thank you. <br /> CHIP St f� � <br /> 0 <br /> � <br />