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L <br />REQUnWD SUBMITTALS <br />*• __ completed Application Form <br />2. B--------^ <br />Completed Application Form <br />Ceiliflcate of Survey rsiened k«# . i;____ ___ . <br />«»«««| aoaw*^ full <br />Govt Center, 348-5910). ____ <br />reproduction. P™"'*' “■« <» “PX 8X," x If forreproduction. P™""' (» “PX SXi" x If for <br />: - <br />». — Additional items as may be requested by City staff. <br />SriitTwrt wmTlW r7!T ir i”ti!i*‘ <br />APPLICANT’S SIGNATURE <br />The applicant hereby <br />Administrator,agrees to ^yaddltiLlt» (staff «qui^ or requested by the Zoning <br />consultant expenses incuirqd in review of thb ^nl.« <br />supplied is true and correctAo the best of his/her faiowlcdge infoimaUon <br />Applicant's Signatu^^^Jl^^TL Date ^ ^ ^ 0 -0 <br />OWER'S SIGNAL <br />ttlm^clTy ‘PP"“«°" “■* «“*her authorizes reasonable <br />members forpunjises "f invcstigation’i^ verificaUoToTtiu?°r^esr^ <br />OwTier's Sigi^ re <br />4i- !*'^ -’7' <br />7/ 4S55X