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requir £d submittals <br />deadline date In or^^fr <br />3. <br />Completed Application Foim <br />2. ^ Certified Prope^ Ownere List of owners within 150*. labels and plat map (you must <br />GorCemer348 5^^^ "*'“***'" Department of Finance, A.603, <br />Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />^^roSbn ** ^ addition, provide one (1) copy 814" x 11" for <br />and proposed elevations) if any changes in existing grade <br />5 ^ S! proposed. In addUion, provide one (1) copy 8^," x 11" for reproduction <br />. ^ Sketches or plans of Ooor & elevation views (provide one (1) copy 8/j" x 11") <br />• “ omo^ W "T/* ^ theproperty -Hus would include name(s) of applicant(s) if not current oWs) <br />As an addend^ to this application, please attach a separate list of any other persons <br />you wish notified of this application. ^ persons <br />Additional items as may be requested by City staff. <br />4. ✓ <br />7. <br />8. <br />The Applicant and Property Owner must sign this application « Please »u ♦,ppn„.i,. I. „o. c-...,. ,r ,H.■■S.K.f !rr.irr^..7 ^ <br />APPLICANT’S SIGNATURE <br />Applicants Signature f ^aie V-Ja-.f.a <br />Pi^i<rXfcieen.'fines. oe»v^r Mn<^^------------- <br />OWNER'S SIGNATURE <br />The ONvner hereby acknowledges and agrees to this application and further authorizes r-asonahle <br />entry onto the property by Oty staff, consultants, agents. Commission members, and’ Council <br />members for purpos^^f invfttig^n and verification of this request. <br />0>vner's Signamre _X ^ Date <br />Applicant must have all submittals into the City offices 25 davs hernra> »h« du • /- <br />Meeting Planning Comntisaton Meetings T'L m on'^ <br />Applicants must be present at all scheduled review meetings of the Piannine CommUciAn anei <br />Council. If an applicant is unable to attend a scheduled meeting, please make arrangements to <br />ch»g“pnt"rthe‘S^g"'“' ■*“ ^ Zoning Office of this <br />' ^ V <br />/ / r-'cz. <br />O f"\ <br />'\ <br />/V'" <br />1