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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'A PLICANT. ON 9 OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESOFIS
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AGREE INDEMNIFY. DEFEND AND HOLD H
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
c-
APPLICATION APPROVAL
.
GIVEN IS CORRECT, AND THAT I Am THE OWNER, OR THE DULY AUTHORIZED AGENT OF
WIT. CITY All. STATE LAWS REGULATING CONSTRUC-
CALL
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'Ppli'al"' I' -at a Pam I udt Fee, .. paid. .,d
T� IS WNER AGREE To COMPLY
AUTHORIZED THEREBY. NO FISON WILL BE EMPLOYED
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IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL
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IT
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- GOLD - ASSESSOR
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FAX
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