Laserfiche WebLink
[ <br />REQUIRED SUBMITTALS <br />All of the followiny informati_pmimKi <br />for VOur application to be copaldered compV^y; <br />1. <br />2. <br />3. <br />Completed Application Form <br />Aif pjat map (you must <br />Govt ctteois 591^ Department of Finance. A-603. <br />4. <br />Govt Center, 348-5910). <br />Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />^r^“rn “ *" C> “Py X II" for <br />^ 'I'^oloos) if any changes in existing grade <br />«• fi proposed. In addition, provide one (1) copy 8/," x 11" for reproduction.A* ^* Slcctchcs or ol^ns oF floAr jJr _✓___• •< *. e Cl, » u -----. one uj copy 8/j" x 11" for reproduction <br />5. Sketches or plans of floor & elevation views (provide one (1) co^ 8'/," x 11") <br />' ®*‘*" P*”®"* “ m^erest in the <br />name(s) of appUcant(s) if not current owner(s) <br />■ “ y^u”:;i:Jt;ir '■« p— <br />---- Additional items as may be requested by City staff.8. <br />The Applicant and Property Owner must sim this annIicafiV,n u <br />3arl«0y^ 4PPlk4ll9B h PQt complely If the above infnrma^tdh.T has nnr ^ <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all infonnalion required or reouesied bv the 7„n,e» <br />supplied is true and co^ect to the best of hisiher taowf^ge, ‘ "" <br />Applicant's Signature Date <br />OWNER’S SIGNATURE <br />JtJ'Z "’P““«0" “I >“«ho-ia.s reasonable <br />ntetnbets for putposes^of investfgation »reSioToTiifr“ ““ <br />Owner’s Signature ~ Date to' 03 <br />Wkel'inr Tfililling cJH^shn hto^' ''Z°M on“'uie ^hiri'lU' Coi^ission <br />ch:;;grp“ sr' “ ““* <br /># 2 Q K; ,d• I j£