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Hm-IMJJI lIttiM Prot^lTY or ORCm «H»4}4|||Mil MCI/9II Mil <br />2. <br />3. <br />hequuued submittals <br />*• :: CoA^letod Application Fonn. <br />Deteribo reqoett in detail. <br />• A-603. Government Center, 34«.Syi) ***®®P “» Coua^ Dep«tmcnt of Fimice. <br />dumfca in elevation (pades). P'VOted comourt) If land alterations involve <br />■ propeny. Tl2^LS!niSl^2LilJS “f *• <br />. Csannietloa pin. if •pplicabk (Me mff ®'™‘' <br />------At a «ld«dum to tu. <br />poions you with oodfied of thl cpplicotio^ * »«P«»ie list of «iy oihtr <br />fOR 1IEI*0DUCT10N™i*V^^’^1T ® documents or copy <br />oppugn is ni^oiStootf temembor that yout <br />SSif.'ScWe^'stS? AppUoation i. complote. <br />^--------------------------------------------------------------------- <br />appucants signature <br />The a^licant hereby agrees to provide all <br />A<tainiftrator. agrees to pay additional fees <br />•nd/or unusual at^nscs inclined in review o, <br />•upphed is true and correct to the best of hi <br />Applicant's signature <br />5. <br />6, <br />S. <br />9. <br />Wbnnr^on required or requested by the Zonin# <br />p-erCTDate <br />nforrytion t <br />mhOVNER'S SIGNATURE <br />X^o .uthodzod toaso^hio <br />membOT for puipoiea of invc|^tioa t^verificaJon of ttis^,!JJ. “<* Council <br />Owner's stgnarjre ________ <br />ApplIcMf nut have all aubmiroTi into^ CUv oflk.'I'' <br />ickeduled review laeciidts of the Pitneini Co«mi«ioa Cn^i ??* Applkaroa enut b« prcieat aiaH <br />Khcduled meetisi. ptoue inice a*rta^^ toha “ « ^ usable lo , <br />Buddies A Zoeia, Offlee ef OU. rta^^w •***“ •"*«*'* *“ Pi^ aod adSTeh. <br />^ -------- <br /># • •• <br />r". <br />.<t..1*