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C H I P ��� , � -� a� <br /> va a �� ee ��Tl'OFF\'LRC-Ti� <br /> � � � � CONII�QUNIl�' HOUS[NG IMPROVEI�4ENT PROGRr�M <br /> ; : ':_:,`;��;: . <br /> To: Plans Examiner. Bui�ding Department � i� <br /> NOV 2 5 ?C� <br /> From: 1���� F� , , CHIP Staff <br /> � , .,. '�� FV,r- � � <br /> � <br /> Date: %�' �� ' <br /> RE: / � <br /> ' Owner's Name <br /> � . . - -;;,( , �. , ;i. � _ Preject 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 /> a' � <br /> i I �z��l. <br /> Please return this form to CHIP as soon as possibie. <br /> i iiank you <br /> �'ill � )I I:\'I[I:IIiI <br /> _�::n A\�Ln,�ii .A�cnui. tiuiir �illl • I�.�cirU. AV�:A `L1'UI--�11.1� <br /> ,_I'ii 'i'.\';S �'.1\ 11'�� 'i'%.ti(i'\ <br />