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RESULT IN A REPLACEMENT
NOTE: Add t ona p aris and/or nformat on may be requ red, if submitted plans are not of sufficient c ar ty or deta I, to
indicate the nature and extent of the work proposed and to determine compliance with all aPp icable codes and
ordinances.
Tn add tion to the above, the Bud ng Inspector w be provided w th any information relative to corem tments
made in the zoning process for the IJrope~-ty nvo red ~'h s wou d nc ud~ any Plan Commission and/or BZA
activity.
APPLICANT'S SIGNATURE,,
PHONE:
ADDRESS:
De
571-2444
s:~ermits/form$/Perminfo Rew Jan, '02