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CHIP � � ��,� ��✓ <br /> � 'm �I �;r ��ir�� ot F:��t_kt�_rr <br /> r`"^�, �� 1� c�� COMhtI,'NITI' HO(.?SING Ih1PR0�'E�fENT PROCJRA,�1 <br /> ,. � , <br /> .. , i' : , <br /> , ; <br /> . � , <br /> To Pians Examiner, Bwlding Department n� ' t o �noF <br /> From /(� f� J�.� CHIPStaff- � � '; �,`�'ENFi ; <br /> „, ., <br /> Date /�—ola—O�_ _ <br /> RE l //[��/� f-(iQLL Owner's Name <br /> !�'7// ��rjj-L,E L � Project Address <br /> Attached are the Repair SpecificaUons for the above mentioned project Please provide <br /> CHIP the followmg informahon by initialmg the proper box <br /> Yes No <br /> Plan chE�ck reqwred <br /> [� ��J ❑ <br /> ����� ( L• <br /> Please retum this form Sb C�IP as soon as possible ����I��V� ��'�- 1 A�� S 1 ��� <br /> i � <br /> ///''' � nlcw t'o i 71 ;e� � ,, ,LL�� <br /> Thank you � � , ��� S �+:�� � <br /> � <br /> � <br /> t I Il t )I I \ I.I:I.1"I <br /> ��� :,� AA.•I��i��ri 1�cnuC. Su�IC �f1U • ��.�i•tCll. A1:A `��`UI �JI111 <br /> 1'• --�';i � .1Ail_'�i '`'-V(t'� <br />