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2. <br />3, <br />4. <br />V \ •• <br />required submittals <br />1- . Completed AppUcatioa Fonn. <br />. Descritw lequ^ in detail. <br />Cer^^ Ownen List of owners within 350*. labels and nl«t / <br />2f5S!.1r <br />, of Survey (signed by a Ucensed surveyor). refer <o ^ <br />Attach leg^ ^ption to sppUcation if not included on tdqdi^-i,^‘ .' • <br />ch£^ to elS S '•" “«'ve <br />construe^ plsn, if appUcabie <br />— ^u't^n'^ti^eJ uTtlir^li^ld^ “> <br />FOR u" X m <br />s^S'riir.riir.&^esx.'ar"*" *■»- <br />"f Cie^''s;Sf • <br />5. <br />6. <br />7. <br />8. <br />9. <br />APPLICANT'S SIGNATURE <br />^e appliemt hereby agrees to provide all information required or requested bv the Zonino <br />. A^strator agrees to pay addiUonai fees (staff time not covered bASi fee <br />andfor unusuai expenses incuned to review of this applicatioa and certiL. rh^ii • <br />suppiied is true mni coreect to the best of hisdier ^ <br />Applicanfs signature Date ■9'/-', <br />OWNER'S SIGNATURE / <br />^b:rfoni£SS^S?i^ <br />Owner’s signature_______________________________Date <br />PtaSnlni Commissim w Comml«loa Mectiag. <br />scheduled review meetings of the Planning Commission mi ct^LlL 1^** ^ *’***®“ " *“scheduled meeting, please make airaniemew to have a« ^ “ •Ppitcmtt b unable to atieod a <br />Building A Zoohfg Office of t^s^gT^Sr a. ie •*«« «U«d b your place mid mlvise dte <br />. f <br />. *•' <br />A*i I <br />• • <br />• ••#S816