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<br />Building Permit Application Affidavit of Intent <br />CY.,..,J,. SJ,,"fPr, do hereby state that this building <br /> <br />Contractor <br /> <br />Permit application for 3969,7 ~4?c:?~~ for a <br /> <br />Location ' <br /> <br />New custome . AeJ--1../ or is a Spec unit. <br />I also will have the building permit application picked <br /> <br />up within 3D-days of notification that the application is <br /> <br />Ready. I can be contacted at ~'3~J83'- 3d-3o or <br /> <br />Phone <br /> <br />j\~<Q.. ~~~U)n~-f-rw.--k~.( tI,,\ I further understand that <br /> <br />E-maIl <br /> <br />in order to pick up the application and have the permit <br /> <br />issued I will need, as a minimum, to bring the <br /> <br />Following: ... <br /> <br />1. Deed showing ownership of th~ lot <br />.? f\Jnr ("\r ~ffi~'::l' ,if ........,-.. Ii..",,"'! h" C" ~ ~.L: _ _ -, A,.., .--, _' _'._ <br />-. . - - -" ""'. ....... ...........".1. I v'1 UIl ClU U Y uC;vLIUII I 10, r lUlIUd <br />Statutes <br /> <br />3. Utility Receipt or where applicable the Septic <br /> <br />Permit from Health Department <br /> <br />Signature: <br /> <br />Name:~~ <br />Contractor No.: C?C. I'IS&; t 13 <br /> <br />