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SUBSIDENCE BUILDING INSPECTION <br />• DATE OF INSPECTION: <br />LOCATION AND ELEVATION OF STRUCTURE: <br />(Township, Range, Section, and Coordinates) <br />OWNER OF STRUCTURE: <br />MONITORING PERMISSION OBTAINED: YES NO <br />TYPE ANC CONDITION OF CONSTRUCTION: <br />CONDITION OF EXTERIOR: <br />• CONDITION OF INTERIOR: <br />TYPE AND CONDITION OF UTILITIES: <br />REMARKS: <br />BUILDING INSPECTOR: <br />BUILDING OWNER: <br />• <br />