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ES S OVIDED FOR IN . . i , � , sEciioNa�aaoFniE�nsoRcQo�;INTEREST'alloniToaMEYis'iFEEs. � - RETENTIONFEE: � � W OCI NSTRUCTION LENOINC�iI iAGE�CY PRE-ALT FEE: � _ � � I HERE6Y AFFIRM UN�ER PENAI.TY OP PERJURYYHA7 THEf}E ISIA'CONSTRUCTION LSNOING AGENCY - � �FORTHE PERFORMM'CE OF THE WOFK FOR WHICHTHiS PERMI7!IS ISSUE�(SEC.soe7,CIV.C.). p . � W� . . � . � � , � � � LENDER'SNAME'� � � . I - , .�� . . . , — - ' ' ' F--� .LENDER'SADDRESS � . . . . . .. , ,, c. /( i, ��j r+�� �y � W ICERTIFYTHATIHAVEREADTHISAPP41CATpNAN6STAT61TWqT7HEABOVEINFORMATIONISCAFPECT TOTi'tL �EES . � r,y -- �G4�.�./ ��"' L �"(d� � , � .IAGREETDCOMPLVWITHAL,I(�NANDDJUNTYORqINANQE$IA�V�STATELAWSRELATINGTOBUILDING - / . i . CANSTRUCTIQN,ANOHEREBVARITHOFIZeREPRESENiATIVES�D.�THISCOUNTV70EtJTERUPoNTNE J � F '�I��i '� Z ABOVE-MENTIONED 7ROPERTV�IKOR INSPECTION PURPOS�S.;';" COMMENTS - I� '� �� . ' . I� . . .. . . t Im Q. 'PE MITfEENAME(PRINf) / . � .. /� C I� / � . � SiGNA7UREOFPERMITTEE DATE . Cry., .. ... ... 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