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CHII' <br />n� �U /� C i o � � o;; 3 <br />ea. � �ae� �e CITI' OP EVLRi.11- <br />��Q � � t� COMtitUNfTl' 1-{OUSING I\�1PROVL-�1�,�T �O��fiIVf72 <br />�I"i V tJVL� i1�'; <br />To <br />From: <br />Date: <br />RE: <br />Plans Examiner, Building Department <br />�� . }-� , v .,•. - CHIP Staff <br />Ir � /�� ���� <br />GCi 0 8 20'0 <br />..I'� '�F E',ic,�.r�1 � <br />.. . ' ,. , ;7'... . ,.�..r,�. �. <br />(��•, �� (�%,: ;,� _ Owner's Name <br />;/�.� � � c; ��1�� ,�. r 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 />Plan check required: <br />Yes <br />� ��7IgIIJ <br />Please return this form to CHIP as soon as possible. <br />Thankyou <br />No <br />i'I ll c)P I[\ 1.1:1.I l <br />,,.�� �A:im��r: A�cnui. tiuilc �I��� • L��rrtl. A1.� �!�'�i�.-n.11 <br />_-' .-.: . l.i� _- _.' �n`> <br />