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CHIP <br /> n � � �„1 �I 11 c)1 1[� I:�tI: rT <br /> `� �� � cr:� CO�f'�fUNITt' FIOUSING f��IPROb"EI��tENl� PROGfZAtiI <br /> To: Plans Examiner, Building Department <br /> . AU� :, <br /> � <br /> From: �—�l�`�.a�.1 /�.�a�o-.-/� . CHIP Staff ;��'�,�;.,.s10�� '� <br /> �� q. <br /> Date: c� " Z`�— �9 <br /> RE ��v i P I—v i rr� Owner's Name <br /> ��f �� /�{e��.a %�2 . �z!Z 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: � ❑ <br /> �'JI Z?�� <br /> �M f��R�I A-C, p L,n-N <br /> Please return this form to CHIP as soon as possible. <br /> 2�vi�w. ('�.,�-N 5 2�4�i�� <br /> Thank you. <br /> -t-„�..,.+,�--�� <br /> � <br /> i lll ciF E\ GRf:tl <br /> ,��;�� A1:ini��ir .A�.inur. Sui1r tiU0 • li�rriu. �\:A `�;`�II-1U.!1 <br /> � __ �i_-V_'i F;i� iJ'�i '.-_v(i'V <br />