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x r n <br />� C-] <br />a �3 <br />��w <br />q r� <br />9 �-3 CA <br />C xa <br />y zH <br />K C� <br />H �1 <br />O :: O <br />Kj H �J <br />U1 H <br />y r <br />�i o � <br />Hl7 <br />pH <br />� C� t7 <br />H LT1 O <br />G� � CC] <br />9 H G7 <br />r z <br />r+ y <br />O � <br />nd� <br />��n <br />H O [�/� <br />Date: 81;tti I Go <br />To: Ben Edwards, ?lans Examiner <br />De: owner's Name: Ma. Ja•M�, e s� <br />Project Address: � � � � I� t <br />�ttached are the Repair Snecifications for the above mentioned <br />project. P1t=se provine CHIP the iollowing information by <br />initialing the p�v�er box: <br />Plan Check Required: <br />YES <br />� <br />Please return tiis form to CHZP as soon as possibl. <br />Thank you. <br />�� <br />CHI? Staff� <br />