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Description of Proposed Work Please provide a brief detailed summary of the scope of work to be performed. <br />1 C G./ A ,z`fl,,f,:roly 7ir_ -1 to- <br />rnif,ove to— A 011 rcJ, r /('4 04'19 ci <br />f SI(�( 6, IfJ{Ii vz) !//1 '1,[' 6�fC_l�fvf We,l/,r <br />6cC . v 010io- <br />By signing this application, I agree to abide by all local regulations related to project and to obtain all applicable Building Permits. <br />Signatures <br />Signature of Property &Amer eoc �0 <br />Date <br />215 S. Dr. Martin Luther King Jr. Blvd. I Ph: 574-235-9371 1 hpcsbsjc@southbendin.gov <br />