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Get And Sign Doh 154 Form

Village or City New Renovation Conversion Are plans attached Yes No Detailed location e.g. road street building number distance from well-known point Name of owner Address Phone Name of operator It is proposed to describe in detail use additional sheets if necessary The following permits or approvals for the proposed construction enlargement or conversion have been applied for or received Name of local code enforcement officer for facility location Signature Title Date Owner Mailing Address...

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