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PERMIT EXPIRES
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F ISSI FUE DATE
SIGNATURE JOYNER OR AV-P
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771-0221
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PERWT UMM I PERMut APPUCAM N, IN DAYS
YVAR. MOVIDED WORK UISTARTEDWITKIN 1110DAYS
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Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THU; APPLICATION; THAT THE IN FORMATION
APPLICATION APPROVAL
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GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE CULY AUTHORIZED AGENT OF
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THE OWNM I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONS U.-
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OF SI E DATE
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