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Landmark Special Admin. Hold DS APPLICATION NO.: Lakefront Prot. N Other DATE ISSUED: Flood Plain 1. GENERAL INFORMATION (Provide Original House Number Certificate for new construction.) Property Index Number(s) (PIN) (required): Address: Please enter two if a corner property. 1. - - - - Number of dwelling units, number of stories, building use, description of proposed work and parking: 2. - - - - 3.

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