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2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />required submittals <br />. Completed Application Form. <br />. Describe request in detail. <br />■ “■* "“p O'OU <br />A-«03. Government Center. Ss-s"?!) Depanmat of Ftaace <br />surveyor) - refer to hantlou. for aurvey <br />cl^ges in eievstion (grades/ ^ ^ contours) if land alterations involve <br />With m. interest in .He <br />Construction plan, if applicable (see naff .i? "‘W “o' current owner(s). <br />As tut »ldendum to Xs apUcLn „u «qunements). <br />persons you >«sh notified ofXs applicate ““ “>’ other <br />9 <br />sirm, TO*"*SbI^^DOCUMENTS OR COPY <br />•» ofXiToc^tis*: p^^T^be <br />The Applicant and Property Ch^ner muRt «s«, .u- <br />»o„isnotcomp,ntHer riZioX'Xit;"m^^^^^^‘™*“on nas not been included. <br />InitifJs of Cle*a?St^^ department that Land Use Application is complete. <br />--------------—--------------__ Date <br />applicant s signature <br />A^ftraX! !l^a to*'w fsSr^°e“ "J 'D' «» Zoning <br />and/or uiiusual expenses incuned in review of rtuT 'overed by original fee navmenrt <br />supplied is true and c^^o th^ of hisfiier knwIedS"”’ ‘“'“"“"■on <br />Applicant's signature ^ <br />V"/~7 fliDate <br />owtver ’s signature ' ------- <br />Xrabem f *' ’£"°coi!l!I?- reasonable <br />nerabers for putpop^Sr^sug^n and verificatiX of ulis «X'eT° <br />Owner's signature <br />Date 9-n~^ <br />Applicant must have all lubounals th« «- ------------- <br />Kafd^:sr“ h-*... <br />scheduled meetinK elease maV. Conmusnon and Counefl. If «, ^ P^“* **Buttaio. ^ z.4or.',rs •*» prid-adTj <br />r* <br />ski