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, <br /> � <br /> � <br /> � � � i <br /> m � x <br /> � <br /> �. yy i <br /> H � � <br /> 'e y � i <br /> � NH I <br /> �io� d: � It , 1s n , ; <br /> O �d h f �.J(i � i.;`�`,..� � <br /> ��� ' , <br /> ��,g ��L � � 9, ' <br /> � 1990 �,�� <br /> ......CITY_OF [�ERETr_..., <br /> xy <br /> i <br /> �y y Pu�lic works D�Pt <br /> H <br /> oav� <br /> �� � <br /> .4HV� <br /> H O Cn <br /> Date: —] _ � U - � p <br /> To: Ben Gdwards, Plans Examiner <br /> Re: Owner' s Name: Jo�,,. 4 Vavcr�V STeve,n5 � <br /> Project Address: I� I � il +h S'1' . <br /> Attached are the Repair Specifications for the above mentioned <br /> i� � project. Please provide CHIP the following information by <br /> I �°�� initialing the proper box: , <br /> � <br /> 1 YES NO <br /> w..� <br /> I `� � � <br /> Plan Check Required: O <br /> � ( � �� <br /> "'�� n,,,/ .1� <br /> Please return this form to CHIP as soon as possible. �LJ(�" �' <br /> J <br /> '.�) ( Thank you. <br /> s Lvw� <br /> CHIP Staff <br /> ���~� <br /> \__t <br />