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Der the Building Code Sentence 2.4.1.1A.(2). For use by Principal Authority Application Number Permit Number (if different) Date Received Roll Number Submit application to : Huron County Health Unit, RR 5 Clinton, ON N0M 1L0 Phone 519.482.3416 A. Project information Building Number, street name Municipality Unit Number Postal Code Lot/Con. Plan Number/other description Area of work (m2) Project value est. $ B. Applicant Applicant is: Owner Last Name or Authorized agent of owner.

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