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<br />APPLICAI|.T DTCLATTTTON
<br />I hfttt rfm lda FMty of FJju.y oB ol tll lolbvot &.lltniou:
<br />D.nDlirion t mirrA$.(o, Ndinqrbn l.d.r.l R.guklions (T l.40, P.n6)
<br />-R.4un.J
<br />Un.r of Ndifd6.
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<br />_l .d y rll.l I h.€ Erl rhii .ppl{.rion .i irc 6.r rlE rbo* inlotuion n c(,El. I .EE io .lrply }dh .ll Ci!} .al Coody
<br />ddil1e!, lll Sr.r. L.*r Elrrl3 ro hoildins .otr{r.r iol !n tEEby rurln.i& EpEEai{i€rotrhi! c y lrl Counry ro did uF,n rlE
<br />rho!. Entioal pmFnr ld ulrEdDn F{rB
<br />Hc/'4q^dEqApplionr or ,1s.nr SiRntrt'*. G,,\o s
<br />d ez ?^ 2 +-zulo
<br />Set Backs lr>
<br />Forms/Steel/Holdowns \ /
<br />Erection Pads tn,r'n,0'
<br />UFER Ground rt r
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Rool Sheathino
<br />Shear Wall n nYz F4
<br />Framino (r-\- cr
<br />lnsulation/Enerqy
<br />Drywall 7-\1-?4 Y<-<-Z D
<br />Ext./lnt. Lath
<br />Brown Coat ,/a\
<br />*asonlyjCZ,olcn-1-z/)'zt ),/%,1)bffi
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />FINAL fl4r-u fz fis .J€IQI - rI
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc.
<br />Rev. 08-07-2015
<br />BUILDING- INSPECTOR BECOBD
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