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Gh Block Work Proposed on Floor No(s) Lot BIN CB No. 2 Requestor Information Individuals Relationship to Job (example: applicant, owner filing representative) Last Name First Name Middle Initial Business Name Business Telephone Business Address Business Fax City State Zip Mobile Telephone E-Mail License Number 3 Type of Request Choose one. Letter of Completion (Directive 14 or Non-Directive 14) TCO - Temporary Certificate of Occupancy (Borough Commissioner s Office may be req.

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