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REQUIRED SUBMITTALS <br />1. <br />2.■f <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />Completed Application Form <br />^ LS‘ffr7'T ^'''™-'“" vU ~s~vi o^e (IroTst-'n,-, <br />property. This would include name(s) of <br />_ As an addendum to this application, please ariach a separate lisT^*^you wish notified of this application.*^ separate list of any other persons <br />Additional items a- may be requested by City staff. <br />The Applicant and Property Owner must sign this application PImc^ v u <br />APPLICANT’S SIGNATURE <br />AdrninSmr! ‘’3’ the Zoningr« r,s:“ <br />/------------ DaleApplicant’s SignatureQ's f\ <br />OWNER’S SIGNATURE <br />entry onto the Xpel^Ty'cUy sLff!^rnsuUant? Sem.“entry onto the property by City staff *consulianf<T authorizes reasonable <br />members for puntoses of investisation’and veriftcat'ion oVthifreqrsr" <br />Owner’s SignatureO^.. O. <br />Applicant must have aSksu^i <br />j Date Jg/ // n LJCf <br />sr..:" ys;r “„VSchange prior to the meeting. Building & Zoning Office of this <br />o'?*.- J% » ' <br />V <br />.1 / /-^cry ■■a* *. <br />• .J .* * <br />t'.