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UayZZ-ZOOI 09:l4aa Froa-CITY OF OMNO «9S22494jtS T-503 P.009/015 F-992 <br />•Atyaeeiit Property Owners' Aclcnowled^ement Form <br />[print address] <br />!s^gaagates:asi£^-’»'-»““ <br />uncil (hat I <br />Property Owner Date <br />I (we) <br />[print name(s)][print address] <br />cs.'Z'Sffi: ssitssar “'or use <br />Property Owner Date <br />Property Owner Date <br />Applicati^ pleue subLt your fcLfio d*""* ”**to the scheduled meeting date. ^ «mng office at least 10 days pnor <br />*;v t7. <br />\ <br />i