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'y � I } ,:�:.��i f�.���n ,a � SINGLF FAMILV l 7�mp.Pawer Pole&Appu.tenonres �.,._ j,��y-I' ,�1 -� � j HOME OWNER-RU4DER DFCtARA7�ON ijij g;9,�,,,,��N U�e Bro�cF Grcuu �_�x2..j��l�,ia��! #+'� • '��'°i� Q I i hernby a�f�rm�har I om axemnl from fhe Conhnc�or's Licensn �Addilionol S�gn 9roi+ch Circuils � , ;i_ I i � � '� , � s �-��.����s i Law fo�Ihe fa�lnwing reasen 1Secllon 7031.5,6usiness ond 1�"'; � , Pro�esxions Codaj: '�� � � ` , 'R I.as ow��er ol Ihe FropP.�y,will dv the work ond the �M�sc.Cnnduits 8 Conducton � _._J�� �� x +:.r].����i i� � ' O sirudu�n is no� iNendnd w offe«�!d for sole (Seciion ���her fSee Complete Fae Sr.hndule)_�__.- � �}''� ,^a�,, � � 0 70e4,B�s�nexs and Professinns Code). __L - � A_.._t� . � f.(!��'£���' v ; �__..._..._.�... ._ � � CONSTRUCTIpN LENDING AGFNCY a , I herPhy�Hlrm�ha+�here is n conshuUio��ending uqenry iar � �--'� ' N � thr,periormonce o{dia wor6 For which ihis pe�m��is�ssued j pERMIi FFE (Sub��To�al) S._.�t/(J6 . , , Z ! • (Sec 3097,Civ.C.� f I� , - � � � I r VLf�N CHFCKWG FEF �R��e,5 NomO__. _ � I__�.�� �FERMIT�SSUING FEF � � _�,� LPnde�''S Addrnc3 c� L' I cr.i�ly thn!I i+nve rcad rhix nPoU�n+ien��d tho!e�ho��hn 70TA1 FpE t�1`�`S i . ab�+ve inl�rmnt�an is r�n.�ci I ngre�r�r:mm�ly with nll Crx�r,ry � � e.din ces nnd 51o�e Inws r.�qul��i.,q Eleci�ical w�iny. n��J hn.eby oufhnrira re•prezeNo�lves nf rhis Couniy ro rnle�un���� . �hy nbove me.ifioned pinr�rly fo.inc�ec�ion pu.po�es. _� SEf REVERSE FOR EXVIkNATORY IANGUAGE ����-l�t-=--I�_._I_-_'�- ;.� ,,<'�'��io,.�.��,��P o��� "_ , _... .. 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