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jUgCJ^D SUBMITTALS <br />£ Completed Applicatioa Form. <br />^ — Describe request in detail. <br />® CerilW Propoty Owners List of owners within 350* labels Md nUi / <br />. st3 ‘^.,r5^T2;" <br />^ *^) - -0 for .«.>.> <br />- :S2^rno ‘::fiS‘cr*Ss‘:s:;u"^r “*■ »> <br />FOR ^TO w5ct Io/V^x'\7^^ TO**s*ulLE*u°F0*^^^^ <br />•pplictoo is not com^lS^ttelbwfSoSio^'hJ'Srb^^^ remember thit >x)ur <br />5. <br />6. <br />S. <br />9. <br />AFPLICA.Vr*S SIGNATUREass S’?s SPSS'S srsrr^j: r-?- *' - <br />OWNER S SIGNATURE <br />members for purpo^ofinvcsi^on'ar.d vcrific^i ’on <br />12 -bi-o ^ <br />wtry Mto the property by City staff, consultants, agents, commissi <br />members for purpo^of investigation t-.d verification of this requ^ <br />^^.t:y.;rf Date <br />pSoiai Ceaauiifol M«S^^heToo***e^^°*"'*®*^ Conwiuioo Hccocf. Kj^ mie. H:e«ia„ of ±e Appli«nu „«« b. p«« «*.!, <br />«*wWH trrnici. please md« KraDf^^TSS!^ ^ «> «»*ble a, .iiKd , <br />BuOdiai A Zonir* Office of this change prior to ***“ “***^ « >«» P«>et tad advise d«