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FOR VALID.AT[ON <br />R~eceived By: ~ <br />IZoning Validation: <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St. NE - Room 132 <br /> <br />FOR CITY USE ONLY I <br /> I <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING TltE WORK <br /> <br />Maillag Addles ~/~ ~ ?~'9- 77t/~ <br /> <br />4. FEE SCHEDULE <br /> <br />I hereby certify that ~he above information is conect. <br />Permils are non-U'ansfenable and expire if work is nol sianed within 180 days of issuance or if work is suspended for t 80 days. <br /> <br />Name of Applicoat (Plea,se Ptim}~ /~--4~ .~ ~/~ ~P Pho~: <br /> <br />MC 15-73 R~v 1/95 <br /> <br /> <br />