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CHIP ' � <br /> ������ - �r� <br /> n4 r� � ae CITl' OF FVFRETT <br /> � c COI�1h1UNIT1' }iOUSING IMPROVE;�1ENT PROGR-�h�i <br /> To Plans E;<aminer, Building Department <br /> �����Ud�� <br /> From: I lc , CHIP Sta AUG � `,� 20�7 <br /> ....... <br /> Date � �7— d �7 '"��CITY OF Ey� <br /> Englneering/Public Serv1�ti` <br /> RE 1 /Cki I`�isT�R Owner's Name <br /> �J/ -� ,2�� i(✓E, S,� , 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 /> ❑ 0 ��, , <br /> YII � <br /> Please retum this form to C IP a soon as possible <br /> Thank you. �����, �'-'�---� <br /> � �� <br /> llll c)fE\ F.Klil`I <br /> '��;�i Alctmurc :A�enur. Suitr ���0 • P.�eren. A1.�1 9,�'ill--3i�a-t <br /> i��il ]l'.\':l • �':I\ I-��11 'l�.ti�1�1 <br />