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--------1^1 jt:Mjr4X •SnuiHI LEcy IMS MM <br />L <br />P. 97 <br />(2oos <br />REQUVIEO SUBUnTALS: <br />■T uBl ■Mon?rTi*fH^ ^ by th« MMotVon de«5nn« date In Ofder lor your <br />□□□□ <br />□a <br />□□ <br />Pf».Appiieteion MMing Form, compteted by a City Plarnar. <br />Completed Applicatton Form <br />Complated Hardship Doeumontalion Form <br />coumy OBpmmm of Finance <br />» «ii»I.M>in>ipoll«. lrt«phoi» 612-348 S810 <br />*»y ■ m6«n9 •« MW fWluiwniMts <br />1V^ 17^ tlpiSSeSoir^^ *»»6oo««r caloiMiont. AIM piouMe 0«w copy 8 J’ * t r or <br />Cr»iiip>o>oohpi6oBweplMlMono»t»tat>oo(t(o«pfe><ldo6ii»l8ihttipvariMMaMitM <br />L‘'W?Ri°.:Sr!^.!::y'** o^««on^ PravW, o5TSS «5-. <br />otevatJon slaws (provlda ono copy 8.S" a 1 r or 11* x m <br />AddWonal Hams may bo rormaated by CHy Staff dapendino scope of <br />ir <br />APPUCANTS ACNNOWLSIOEMOiT: <br />Tha appic^ baraby ogrooa to proUcte al iniermation requirod or raquestod bv th« Piannirwiaa?^‘.aaa^^ <br />danlaloltharaqiMtiogp^jlaaa^teoolafdlalinarit ^ " **• <br />Appieanra Signaturo; <br />Applicanra Signature; <br />-nr^~iTS »»«yp^.y**UTT**""^** patenM mant <br />fhJLsSi <br />OWNER'S ACKNOWlEOOeMENT: <br />Ownar*a Sigrwitjre: <br />Owner's Signature:Date <br />Date <br />i: lo/w^oy <br />CouncM. P an appnoani is unable to attend a eeheduted niil*IIL^*^"*"!L®**"**’*****®" •"** <br />have an eutoortaad rspiesenteSve attendin "«^ypftec to <br />assigned to your prefect ■«*•*"* •dviae toe City Ptorwar <br />■teste