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C �iIP <br /> : a� c �� � CITl' OP LVLRLTT <br /> COM�tUNITY HOUSING I�iPROVEtitENT PROGR�u�t <br /> To: Pians Examiner, Building Departmer�t <br /> From ��� �� �1''�/°fi�"�'� . CHIP Staff <br /> Date: ���/�' <br /> ���,���� ����„/(�`�- Owner's Name <br /> RE: � ` <br /> l�l� ��}��P�,� �j� Project Address <br /> Attached are the Repair Specifications for the above mentioned project. Please provide <br /> CHIP the following information by initialing the proper box. <br /> Yes No � <br /> Plan check required: a (l <br /> ❑ �l���,3 <br /> Please return this form to CHIP as soon as possible. <br /> Thanl< you. <br /> �Ill c)Fl:\ 1.RETl <br /> '�i;i'� \\�tm��r� .-\��nu�. Suii� �(lU • f:��t�rlL \\:\ �7`�01•1111� <br /> �_1'c, �;',-�?:; F;i� iJ'�i '_>7-16';i <br />