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NEW JERSEY MUNICIPALITY: PERMIT NO.: In the Matter of the Application for a Construction Permit at: (Work site location) I, , of full age, hereby certify and say: (YOUR NAME) 1. I am making this certification on behalf of (the "Contractor"). (Name of Applicant on a Home Imporvement Contractor Application for Initial Registration to the New Jersey Division of Consumer Affairs) I am authorized by the Contractor to make the application for a construction permit of the work site identified above,.
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