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                                                           Building Assessment, Inc
                                 5401 S. Kirkman Road, Ste. 310                   P.O. Box 314
                                 Orlando, FL 32819                                       Pineland, FL 33945
                                407-371-5237           866-334-0195(FAX)      239-209-1309

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Inspection and/or Information
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Property To Be Inspected:

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