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2. <br />3.- <br />> 7. <br />REQUIRED SUBMITTALS <br />!• Completed Application Form. <br />Describe request in detail <br />’»•. hbeU and plat nup (you <br />**"" ***“*l"“ County Depaitmant of Finance, A-603, Government Center, 348-3271). “«ncc, <br />of Survey (signed by a licensed surveyor) - refer to handout for survey <br />Attach legd description to appUcation if not included on required survey ‘'"-'r-r-' <br />SSTm S ® l»d -..rations involve <br />.• .pplicanKs) if not current owner(s).Construction plan, if annlicable Tsee staflT fnr ^ <br />4. <br />5. <br />6. <br />, r -I-_-.r- ----.' appucamisi I <br />I Copstruction plan, if appUcable (sec staff for requirements) <br />9. As.an addendum to^s a^Ucation, please attach a separate Ust of any other <br />persons you wish notified of this application ^ <br />• • • <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br />^ ■" documents, plans, etc. to be <br />f** appUcation. Please remember that yourapphcation is not complete if the above information has not been included. <br />Certification by Clerical Department that Land Use AppUcation is complete <br />Initials of Clencal Staff;_____________________ <br />APPLICANT'S SIGNATURE <br />S' SHSlf <br />supphed IS true and correct to the best of his/her knowledge. <br />AppUcant’s signature —___________Date <br />OWNER'S SIGNATURE <br />Owner's signature Date /Ai/<02- <br />AppUemt mua h.™ ni mbminri. the Ci» oBc» JS 4,. bdi« Ih. PInmin, Camabrio. Mwiag <br />ApplKuattputtep^aUtt ri: <br />S^St nuX yon Ptm. -I .rih: <br />-V <br />•• s- <br />» • . a •• <br />. r . <br />“ •/ <br />. T. g