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REQUIRED SUBMITTALS: <br />«^a'e <" om.r ,or you <br />S Completed Haidship Documentation Form <br />^ SrSW and p.a, .ap <br />^ ............. <br />APPLICANT’S ACKNOWLEDGEMENT: <br />THa snr^fi^anf _____• « <br />^^••no’::,Zl^^^ “Pon failure <br />denial of the request regardless of Its ^ntial Ijerlt^ ^ recommendyihe request for <br />na.Applicant's Signature: <br />Applicant's Signature: <br />OWNER’S ACKNOWLE^BtelW ^ <br />entry onto the^Prop<^°by*aty S^^ Mher authorizes reasonabl€ <br />purposes of investigation and v^fication^ this request Commission & Council Members foi <br />Owner's Signature: <br />Owner's Signature:Date: <br />Date:-----------------— _____uaie: <br />Jsr ?a:rc:xr i.vr rzrs "r"? <br /># O C) Rit^ <br />1o ^ <br />Btoafcidfc<e>oiBiwbiMJW