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<br /> <br />'ct'70NS: <br />U'<1t1imgji or ['f)~pi)ration, stat.. h"1' that affiant is C 'nf"'mber oj thl' firm or illS <br />ofJimf ,:afH1<1~y in the !C<N"l?flyaJicm. <br />( ,?) 1>1:41$ Ju."'-I!! wft..ethf!'r ~,,"bi:rt M' tvnUen contnu:t. If ttW#filflt, attach copy; C'1t i~n is vcid. <br />"'Cooutru.ction:'" "Alteraticffl," vr "ReplIw/' as the case may hi'. <br />(4J Here ifnFM c(}rr~ct legal description of imui. <br />(5) If the WiPer !~~ materiat ~i.~r" {1M CI::-1IIt~t[,ir fJ;1I<d _tthi! owner dil"e<'t, state "{naL..,,,,,,,,,,,,,,. <br />1:YaS" ti~_~ ,_c~~G\.(:I'&r' - t~"n- ~ aM: '- {t(;-t-t~ for - t}'t,€- ~_~J';t. <br /> <br /> <br /> <br />nIid.mei!d <br /> <br /> <br />{/, copy of .rc,id ?Wt<J <br /> <br /> <br /> <br /> <br />