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1984, 06-28 Permit Notes
SIGNATURE OF OWNER OR AGENT APPLICATION DATE JOD ADDRESS: OWNER: ADDRESS: CITY: ST: ZIP: APPLICANT: CONTRACTOR: ADDRESS: CITY: ST: ZIP: PH: LICENSE*: ARCH/ENGINEER: ADDRESS: CITY: ST: ZIP: PARCEL*: CENSUS TR: INSPECTOR: PLAT*: LOT &tc OLOCK FINAL PLAT NAMC: IZONE*: ZONC I FSO 5-1. 5-2 R50 MOD USE OF PERMIT: JOD ADDRESS: SEO. *: DATE: PROD*: PAID BY: CA CK COUNTER APP: PLANS EXAM: DATE: INSPECTOR'S COPY