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ADJACENT PROPERTY OWNERS’ ACKNOWLEDGEMENT FORM <br />1 (WG) C I I *i (print nain^e(s)l <br />of / )'"! /___( __f- (• <br />(print address) <br />have revised the plans for ttie proposed improvcmGiit or pioporicd use of tfic properly located <br />•If / ^ V-* also roferreri to as Land Use Applicaliori No _________ <br />I (wo) imticrsland that in executing tins ackrowlcogoment. 1 (we) am (are) not asked to <br />declare approval or disapproval of the property or use but merely to conlirm (or the City Council <br />'.hat I (we) am (are) aware of ttie impiovement plans and that the proposed neighbor ’s protect or <br />use requires Council approval. <br />I <br />// <br />/ // '/' / 4 U <br />✓i <br />DateProperty Owner <br />I <br />/). ; cc— /:) //>./ t V <br />Properly pwner Date