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I�) �s � ' � �'' C ' <br /> �1 <br /> �� ocr 2 u �9as —� <br /> ........................................... . <br /> CITY Or CVERET� <br /> PuU1ic WoU�s uapt. <br /> Date: ���/B'� <br /> To: Ben Edwards, Plans Examiner <br /> Re: Owner's Name: /CJfGQ SNLFA9�a <br /> Project Address: F/�'4' Lt�AlfRtil� <br /> Attached are the Re�air Specifications for the above mentioned <br /> project. Please pravide CHIP the following information by <br /> initialing the proper box: <br /> YES NO <br /> Plan Check Required: ❑ � � <br /> �� <br /> Please return this form to CHIP as soon as poasible. � O'ry <br /> ` <br /> Tha you. <br /> CHZ taf <br />