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Sit~ E~lu~flon, fi~ I~0 8~. D~F 245~., ~-~ <br /> S te ~a ~fiOq,? e~ ~dL 500 ~, ~F 75.~ ,~.~m <br /> Smndyd Sy~ meg <br /> <br /> ~ppiag Fill 4i'~,00 10~0 <br /> o~ ~i~ w,~ <br /> Holding ~u~ 245;00, 10.~ ', - <br /> ~ ~bu~ 350.~. 10.~. <br /> ~edundaat $~m ' ~45.00, 10~ : <br /> ~h~ Rov~w <br /> R~i[ Mi~or 75~ 10.~ <br /> Con,mcr*on ~mit ~n~ {~cld,~i*i~l ,,, : 150,~ 10~ <br /> Co~ction Pe~t Ro2ew~l ~0 FMd Visit) g5.~ 10~,, <br /> ~isting Sy~cm gvaluatfo~ ~o~d 150.00 10~ <br /> A ~,o~. ma~ <br /> <br />..... A~ho~6o~ N0ii~ ~o Fie[~ Vi,it) gS~ 10~ <br /> Annu~ Evat~/o~ 0fAlt~mafive Sy~m 150.00 '10.~ <br /> Annual ~valu{~ ~f~ S~em 90~ 10,~ <br /> ~m~er ~ l~io~, Dm t~k 50.~ -00 <br /> ~m erTmcklv ~tlon *~dl_tmck <br /> <br /> 245.00 .... <br /> l,~sm~ Dima~ution, ' " 35o~ 10,0~ <br /> <br /> ~o ~ ~50,oo ~o,~ <br /> '~...... ~f.~ lo.oo <br /> <br /> ~p~,~m(~ 75.00 I 10.~ <br /> ~n P~ ~ ~ld Visit} 1 ~0.00 10.00 <br /> <br />;'.~ia~a~ , " ' .. "":: .' lf.~ , .00 <br /> <br />, , A~ho~l~ Not~a ~o ~M V~] ,,, g5,O0 10,00 <br />~ng ~m ~n 150.00 10.00 <br /> <br /> A~ ~o~e~. o~ ~ ~ 90.00 <br /> <br />(Mark il' Appl}¢abl¢ to Ihis Applleation) <br /> ) l ~ill call when To~I I'Iolel <br /> <br /> ) 1 am a regi~md builder 6r ( ) <br /> ) ~e work ~ll be pedo~ed by · D~Q Licen~d Ia~r <br /> ) O~h~t SIGNA~ OF ~PLI~: DATE: <br /> <br />MC IS-SI REV 2/93 <br /> <br /> <br />