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BUILDtNG PERMIT APPLICATIOW VVORICSHEEI'
0 PLEA5E F'RINT AND COMPLETE ONLY THOSE-PARTS OF THE FORM YOD UNDERSTAND
(Please returei thle'origlnal and your bullding,plana to the DePanment of 8ulldirtg and Safety)
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DEPARTMENT APPROVALS
o This is not a Permit
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(Standard untess (Indicated appravals required In rithai 'release' or "releese with,conditlons°
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