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C �-I � P <br /> � r - <br /> e�. � �� ve C1T1" OFF�'FRC-"1T <br /> � �� ` �' COM�IUNITI" HOUSING IMPROVEA�tENT PROGRA�I <br /> To Plans Examiner, Building Department <br /> From: `'� r ���C�'1��h� CHIP Staff <br /> Date: ���a�,�� <br /> �E �Z� � �7 �������-- Owner's Name <br /> ���J — -r, ��` �vl �1 ��- Project Address <br /> Attached are the Repair Specifications for the above mentioned project. Please pr�vide <br /> CHIP the following information by initialing the proper box. <br /> Yes No <br /> Plan check r�quired � <br /> � l—J <br /> � <br /> Please return this form to CHIP as soon as possible. <br /> 5/?�l►� <br /> Thank you. <br /> , �.J;� ��:;�lr,<<�i�,\�,i �j � � ; �� <br /> � <br /> � � j � iv�Nl` :i 1 Z��L ��i <br /> -,f;-� ,._ : f <br /> - . , � . <br /> Cffl� UI� EV'GI:LTT <br /> _,�;�� \\�un��rr \�rnuc. Sunr �IIU • I:�rrrt;. �1A ')i'01--1f1-l-i <br /> ,�';� _i7_Siii �':�AiJ_'�� '_�'-ti6�ti <br />