Laserfiche WebLink
Li <br />T n : <br />• 4. <br />. r,: <br />* ‘ * / ■ <br />required submittals <br />1’ Completed Application Form. <br />_iZ_ Describe renn^ct in2. <br />3. <br />4. <br />Describe request in detail. <br />musl oblamXs‘*IisurbeTs and map‘’ftorH™'“” <br />^ • A-603, Government Center, 348-327^1). bounty Department of Finance, <br />__ Certificate of Snrvev u.. _ .. <br />A «ni and map f <br />A-603, Government Center, 348-3271). -*—• —x^cpanmeni or Finance, <br />~ ‘“^'yoO - refer to handout for surr ey <br />«• r: on required survey. <br />/ changes in elevation (grades). ropose contours) if land alterations involve <br />-----List of the legal names (include marital status^ of di <br />property. This would include name(s) of applicantfsfif ’"?"* <br />• Constniction plan, if applicable (see staff current owner(s) <br />As an. addendum to Is ap^lSot^'o^ <br />7. <br />8. <br />9. ^12: As an. add^ f" re,uirements). <br />persons you wish notified of fhisapplication “' *■ "P""* »« »f any other <br />^ ^ • • <br />. -- ..uuiicu 01 inis application. — ““'ci <br />OR^Shl^LE^®'^ DOCUhffiNTS OR COPY <br />submitted.)^- .o scale drawings of all Tofumt^!: p^t^^ «f <br />applieal," tSt^Z^ remember that your <br />S”fciel?S‘ APP'ica.ion is complete <br />■------------------------Date <br />APPLICANT’S SIGNATURE <br />Admintoor! a^«s tfpay IddS'feil Har«me" nT"'“ " *’>' ^omns <br />and/or unusual e.xpenses incurred in review of thifU^ ?° fee pa>-ment) <br />supplied IS tme and correct t^e best of his/her knoNWedgr"’ information <br />Applicant's signature <br />7"Date 7-^J?. o 3 <br />OWNER’S SIGJVATURE ------- <br />SeTf "" °'y 'Mcmf To.^^—"““"able <br />members for putposes o^esligation and verification of this”e^est°" <br />aignature <br />Comnassioa M„tu„. <br />a On scomnj on.ee of thu change prior lo the meeting. * “ 7®“ pWee and .dvise the <br />6 V.):0 <br />1