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EHPR-6-11-11163.TIF
� �A � � Catawba County Environmental Health � � Contact Information for Plan Review u -�::� '�' 100A Southwest Boulevard, Newton, NC 28658 1 (828) 465-8270 phone (828) 465-8276 fax FLI Case # C��� �-I I-I I(�O� PLN Case#C�PR- �-I I - ll �(cn Property Location Property ID# * - - - Street Address * ' Cit * z�p * �Fsl• Jd Business Name: * C�,,.d(�� �,,,{,recr � � � Mailing Address * 3 I(� � NG ;c� w�r I!3 E Address 2 * CitY * C��c:r�•�ct-�t 1V C. Zip * �$(o�— Phone * �,17- � �� Owner Name $csw►L a�[��,� s� n��s Owner Mailing Address Crnt Physical Mailing Address City Zip Phone Architect ry c� Ck,;� S a� hson Contact Address p, 0. 13 0�• 4� s? Address 2 City Gonavcr NC Zip ,�, 4 � 13 Phone �� —�r1� Contractor _(� �'. Looe�. ��r+c. Contact Address Address 2 , p. � City � G Zip Phone �7_� ��. Contact Information Sheet and a fee required to begin plan review process. See fee schedule Complete and return Food Establishment Applicati * Required field Applicant Signature ��/ Date ��7 J�