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required SUB.\nTTALS <br />I ------Completed AppUcadoD Fonn. <br />------Describe request in detail. <br />must obtJSTthiriisrSSl Md **’*' “*P C'ou <br />Government Center, 348-32^1) ^™enl of Finance <br />—i.'iSS.'' . „s, „ ^ <br />' — PS syr„“jyi?» <br />c^ges in elevation ^^esy B-PO ed contntirs) if land alterations involve <br />8. <br />9. <br />Please remember that jour <br />■ chan^ in eleS PISBOud,cornou^ <br />FOR REPTOoi^ON^f^^X*'^,/' ORDOCUMENTS OR COPV <br />SraMITTED. (Staff «I| to scate d„ "-L DOCWIE^s <br />.ubmined.) ««'vngs of all docuntania. plan,. . “ ,7 b, <br />™ asove mfonnation has not been ineluded <br />SPSS' «»»■«.... <br />Date <br />APPLIC-W’S signature ------------ <br />Admuuftrator! ^eef t^i^ («!ffStoe" <br />«nd/or unusual expenses incuned in review of d^i., T ° *'> “"Si^ f«e payniem) <br />atipphed IS true and eoiteci lo Uie best of his V?4oiowIed^°"’ “fonnation <br />Appheantssignatu^i^Q^^^^^Ji^^ /^. <br />0\\*NER'S SIGNATURE ’ <br />The owner hereby ackno^l ledges and aen^ ,u- <br />f^Of^y hy City Stoff^uiJ77 “a^i7to ‘ eo7"‘‘- reasonable <br />metnbess for pu^toses of investigauon and verincaiion of Ws”e^J,““" <br />Owner's signature <br />' --------------------------------------Date ______ <br />ApplKim must have all lubmituls into the „ir -------- <br />KbrAdto nuew,. T «> ruLt*, -j' <br />al RlUtowl im _______ . •***“ • <br />• ••■■ f •/ ^» j iB