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Dk~II-20O3 IMSpa PrsKlTV » CIONO ♦ISZZ4MIII MS4 3M7/00I Mri <br />2. <br />3. <br />REQUIRED SUBMITTALS <br />1. Cooipleted Applicttioa Fonot <br />Describe leqoest in detail. <br />CcftifiM Pwp«ny Ovmen List of owners within 35(f, labels and plat map (you <br />C^cie of Survey (sipiol by . Bcaiied nmrejor) . Rfer to hnleui Ibr survey <br />inionnatioiL ^ <br />Attach leg^ description to application if not included on requited survey. <br />Topographic survey (ewsanj and proposed contours) if land alteratim involve <br />changes m elevation (grades). <br />list of tte l^el mim (incUe msrital taus) of sU yersoos widi an inierest in the <br />poperty. Ttia would include Dtine(s) of applicanl(s) if nor eurient ownerb) <br />Constnietion plan, if ^ipticable (see siaff for requirements). <br />As an addflodun <o ^s ^plication, please attach a separate list of any other <br />persons you wish notified of this application. / <br />5. <br />6. <br />7. <br />8. <br />9. <br />SSf “• "c. » be <br />no Appltanit and Pr^ ^ am eign this appliesn'on. Please remember that your <br />^plication is not complete if the above infoimation has not been included. <br />education by Clerical Department that Land Use AppUcation is complete <br />Ihiiials of Clerical Staff:__________ _________ <br />APPLICANT'S SIGNATURE <br />T^ applicant hereby agrees to provide all information required or requested by the ydwi.-m.. <br />d^strstot agrees to puy sdditioosi ftes (staff timt nut coveted by oiiginel (eTpeyti^ <br />unusual exp^s ineun^ m review uf this spphestiou, and eeitifies Sum InSS <br />supplied IS true and correct to the best of his/her knowledge. monnanon <br />Applicant's signature C <br />OWNER'S SIGNATI <br />Date - •2.0 - <br />ISLTT Ir*''' rud sgtees to thiTqiplicstion and fiuiber auihorired <br />Owner's signature Uate ■" o ^ ^ <br />Appticaai musi have all lubminal^iaM the City oRUea 25 dhv< etw. bi__• ^ . . <br />Planning Comnuiiion Meetirsi are h^oa me Oitd MoMay of each wvsmew Meeting, <br />scheduled review meetings of the Plaaaing Cosnission and CevKa If an f”** w P«*«*» •« all <br />BuQding Zoning Office of ihis clusfe prior to the meetmg. ^ ^ Mbpigt om <br />/7/7 '.'f%}^i <br />\ / s-l <br />s*.T •vO*' ^ <br />6 %J/ <br />lifts'i mil I ■ el