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REQUEST FOR MODIFICATION OF BUILDING ORDINANCES
UNDER AUTHORITY OF L.A.M.C. SECTION 98.0403
PERMIT
APP. #:DATE:For City Dept. Use Only ADDRESS:
Tract:Block:
Lot:Owner:
Address:
CityPetitioner:
Address:
CityStateZipPhoneElectricalStateZipPhoneREQUEST
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