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CHIP <br /> fee! � i'�'I '� CITti' OF EVERFTi� <br /> � �� CONfMUNITI" HOUSING I1�IPROVEMENT PROGRA`[ <br /> To: P{ans Examiner, Building Department <br /> �rom: V/C �f�P�f/J,q� , CHIP Staff <br /> uate: 2—ZS-9! <br /> RE: A��M EAR6-ER Owner's Name <br /> f 1p20 � ��fBskRD rd�E,Project Address <br /> Attached are the Repair Spe�ifications for the above mentioned project. PlEase provice <br /> CHIP the following information by initialing the proper box. <br /> /,J <br /> /�� ��('�''��S <br /> Yes No #� !'� �' �Q'� y <br /> Plan check required: �I ��' <br /> ❑ � � �L� <br /> � <br /> Please return this form to,�HIP as soon as possible. <br /> 1 % D <br /> Thank you. ���i� <br /> c�TY� or- r_� er:F_�_.r <br /> �9 i0 �Vetmore Avenue. Suitc I(1l) • G�creit. �'JA 9S'_01--10�-1 <br /> �?06) '_i9-87>> • P:u ��061 ?>9-8626 <br />