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BUILDING) PROJECT ADDRESS ________________________________________________________________ LEGAL DESCRIPTION: LOT BLK SUBDIV. ZONING CENSUS TRACT 100 YR FLOOD PLAN (Y/N) ________________ ZIP CODE __________________________ TOWNSHIP CORNER LOT (Y/N) VARIANCE NUMBER (IF REQUIRED) OWNER NAME TYPE OF PERMIT(S) ADDRESS BUILDING CITY ST ZIP ELECTRICAL OWNER PHONE MECHANICAL PLUMBING CONTACT PERSON FOUNDATION ADDRESS FIRE SUPPR CITY ST ZIP TENT (TEMP) TELEPHONE SWP PROJECT EV.

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