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DADEVILLE AL 36853 Phone 256-825-2990 Fax 256-825 2991 DATE SEE ATTACHED FEE SCHEDULE Owner/Applicant Building Site Information Name s Mailing Address Street City State Zip Code Phone Day Night Lot Subdivision Address Covenant Septic Sewer CONTRACTOR INFORMATION SUPERVISOR/FOREMAN Address Night PLANNED ACTIVITY Addition/Alteration Patio Fence Sidewalk Other BRIEF DISCRIPTION OF WORK I certify that I have read and understand the Amended and Restated Declaration of Restrictions and...
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