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Ty: APT. Building Retail Store Private House Commercial Building Other (Describe below) For the property, do you own How long was the water in the premises? If there was structural damage to the property please describe in detail. If any damaged property was sold at salvage indicate the amount received and from whom. or rent If there are is any History of Water Damage please give the date(s). City Claim # (s), if any: Was it raining at the time of the incident? Yes No What was the hi.

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