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ST_ LUCRE COUNTY
BUILDING. & ZONING DEPT.,
r"IRE DAMAGE REPORT
DAT�: '1:Xfi6
014NER9aNH 14 f/
-'ADDRESS:
TENANT:
The above premises have, been inspected by � / /''Sjd.+t�
and the followingg -itemsmust be done to
bring building up to code:
Plans Required
Electrical
Plumbing
Structural
AIC Other:
COMMENTS:
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Signed:
Ifis Title: j6&1ra,&-!
BUILDING PERMIT NEEDED: