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C.Q. WORKSHEET <br /> SEPA* <br /> I <br /> �9�/ ���� � � <br /> Addross PertnH Number <br /> �`'i�/'i — "-�Plf��.� <br /> �TaianUName of Project <br /> CL�Ii! P���'�t�� OG�c�cs �GL.'n'�P� <br /> Owner dress <br /> W <br /> FIRE MARSHALL <br /> l/m <br /> PLANNING I <br /> PUBLIC WORKS/AS BUILT <br /> r.o FINAI c �- /�_ 2 <br /> � � / Occ. Group <br /> ✓ <br /> � �j^ Const.Type � fiP j <br /> Stores 2 � <br /> Basement � <br /> Occ. Loed � ���F�r ) <br /> / <br /> n�e 7• /e32 � <br /> �� <br />