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� • <br /> CI-iIP <br /> -^ �� i�I � CITY OF E�'ER�TT <br /> 5� c � c COIv ,iLiUN1TY EIOUSING 1VIPROVI:ivtENT PROGE2AM <br /> To Plans Exammer, Buddmg Department <br /> From� �+ �,� �►''�i�-S,�J�� , CHIP Staff <br /> Date %����1�/�f <br /> , • - <br /> RE I/rJ/'����P - �J'^�'ij� Owner's Name <br /> � ��j � Oj,��,,, , j��_ Project Address <br /> 3 <br /> Attached are the Repair Specificahons for the above menhoned pro�ect Please provide <br /> CHIP lhe following information by initialing the proper box <br /> Yes Na <br /> Plan check required. a a <br /> " 2Z l 1`� <br /> Please retum lhis form to CHIP as soon as possible ��` <br /> Thankyou <br /> CITI (�I I � f.Rl IT <br /> '�i;n \\,.�Im��tr .\���i;ur. �uiii �nil • 1 ��•i�•t� \1 �\ '�•. 911 -ili.1.7 <br /> �_�'�� i1i A. �l • �".1A �.1'�i �li-�{(1�7 <br />