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PLLM E M L OW LIMMY i OOMPL EMY TO AVM OELAYi N PR�
TO THE INSPECTOR OF DAMN S&
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other app8obk goo by-kws,mkt aad sefnklkaL
The aidasip W-hvff mwuu"arri5ss that hehtx midcstands tix of Salem 8u%ft Dgwum t.
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HOAaOWNER'S SIGNATU
APPROVAL OF B=ING INSPECTOR
See otba side fa rite code
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HOMEOWNER'S EXEMPTION
The code states that: arq homeovim performiaS iv*for wrbkb a baDdint permit is mgobed dwN W
exempt ticm*4 provisiotn of tbb«cdon (Seetitoo 70p.0-IJocosiot d CoanrtieOM SapervMerO; '
Provided*9 Is a homeowner c Wta p prices(s)IN bhe to do.mrcb work tbat snob bo®eowa s dell tots
as
bbq bomeow nm wiser we tbts extmpkn we iaawaxt that they an awamb4 the vcwomdWNa Wo
aupaviaor(see Appcndts Q.Rules sad Replstloos for 3Jetosiot Coastrucde a Sgervbn%Seebet
.2.30} This Inch of awaraua ohm asahs is serious emblems. tic Lm im veer brad
izrjk mod pasems. In this case Your Said earmot proceed aSahm to perpa as It would via
lictafed Snpenisa. 7*home" T sdiat as mu —vfsK r eels a/e rasLaasbU. .
To enwe that the homeovrrw IS talb sware of U%a nsponvibIlhiea,tramp oomaaapde tegsma;as pttt
of am pcnrJl applicadvA that the homeowner oadly thsa he/she midastarrds the tespe bWas do
supervisor. Yoo may eats to amead aid adopt such a kna ardlicadw In oae to 7oar ooams