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<br /> LE�AL for new rnr�sfruction: Sfioit P(attsubdivision _ kot No. (a.ttad'r r�p�of long 1+Ega►descriptian}
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<br /> Pro osed Use of Buildin : kleat Saurcet �as Eiec�ric CIC�the�
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<br /> list of�irtures l�stt aft��rtures Ust'o�Fixtxtres tlsf of FGcwces
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<br /> AGKNQWI.ED6�EMENT.•l haue revieyved thts app/ieadon arfd r�nfirm the lnlc�ntdhoN Contaier,ed�aer�3n i81r'uue and come�l:Woticdone pursuant to fdfs-permit m�sf comp/y with
<br /> cutrenf federal,;state,and tocallaw..The granti�af e�rtnit oniy autttor+tes approv�work an�no dewefirrrrs Iherefr�m DevlaUansmust Srst be authnrJzed in writing flt�m ihe
<br /> Building Oflrciathefore being;authoth�d�niier�Ry circumstanCa:.!�m tpe 4tivn�a:or!arn arrthnrized by the 6wrieYut th15 pk'operty ta perforrt�the work forwtHch app(isatiorr is made, ;
<br /> abd l evrnp/y wfth the Stete Gontractors.Law i8:2T RGl+1�a�d�8&200A tMEtC.
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<br /> Owner111uthQrized Agent'Signature [�a#e {Rev" �16)
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