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lb * <br />t ‘ <br />tV <br />% <br />i <br />REQUIRED SUBMITTALS <br />I* — Completed Application Foim. <br />Describe lequest in detail. <br />«««« 350-, labeb and plat map (vou <br />«>i« iBl. and map fern, Hetmapm COun^ Depattm^ ofRnaw <br />A-603, Ooverament Center, 348-3271). / k- «Hwrinance, <br />sutveyor) - refer to handout for survey <br />7. naniM Onclude marital status) of all persons with an interest in the <br />8 J ^1 appUcant(s) if not current owner(s). <br />0 ^nstructoon plan, if apphcable (see staff for requirements). ^ <br />9. As an addendum to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />FOR ^pSd ISSoJ V ^ J? documents OR COPY <br />sS?m5Sed SMALLER) FOR ALL DOCUMENTS <br />subntitteA)™* documents, plans, etc. to be <br />^e A^Ucmt and Property Owner must sign this application. Please remember that vour <br />apphcahon is not complete if the above information has not been included. <br />CiJrii stg ^ “ ““P'-e. <br />APPLICANT’S SIGNATURE <br />2r?iSS£:?St3 <br />Cl!Jn:.3Z5r.rSSS£B5S,"'— <br />Applicant's signature _Date <br />OWNER’S SIGNATURE <br />lilT^ “»*«*«« to this appUcadon and fiulhar aulhoiirnd <br />member, fop •8“b. commisaion member., and Councilmembers for puiposj^f mvesti^on and verification of this request. <br />Owner’s signature Iv/lr-N Date I i» 7. 1-0^ <br />AppUcut mutt have all subminab Into the City offices 2S dav« k.Av» a - <br />naonln, CcauuMan Meedap ... held «. I. Comu*d«. Me«ia» <br />Building A Zoning Office of thb^S^ ^ ^ *" P*"* md «lvbe the <br />iN IMAiIiiaa . ^lU lA uauK'hfMs witi M \fur <br />effta THursd^ ^ UsU*! *f ^ <br />Uk. *riu <br />\n <br />¥■rSSl <br />.’irv^ C <br />&