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AFFIDAVIT OF OWNERSHIP This form must be printed out. Type or print clearly. Mail to: New York City Department of Transportation Permit Management & Construction Control Permit by Mail 55 Water Street, Concourse Level
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Document Date: 2014-03-05 11:36:31


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City

Borough / /

Organization

Department of Transportation Bureau of Permit Management / New York City Department of Transportation Permit Management & Construction Control Permit / Department of Transportation / /

Position

Commercial General / /

ProvinceOrState

New York / ____________________________On / NEW / /

URL

www.nyc.gov/dot / /

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