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L~. <br />i\ +idir(x3 <br />REQUIRED SUBMITTALS <br />..................................................... <br />1. — Completed Application Fonn <br />3. — Ceililicale of Survey (signed hv . ii„„„h ______ <br />must <br />A-603, <br />-------- (U* <br />Govt Center, 348-5910). ' ‘ -------- ^-ou.>, <br />“k “ .ddii:‘T™:^eT„r;i) Xy n ”;" <br />5. <br />6. <br />8. <br />reproduction. ^ ^<>Py 8/," x ll” for <br />r <»rn,-r <br />you vyish notified of this application.*^ _____ separate list of any other persi <br />— Additional items as may be requested by City staff. <br />ions <br />The Applicant and Property Owmer must sign this application <br />Hiljance application ppt <^pniPHe if th. |r4niUin|i <br />APPLICANT'S SimVATiror <br />Please remember that your <br />flJiffS qpt been inclnH»^, <br />APPLICANT'S SIGNATURE <br />Adri,ird^lrator,agrees^tofandditi™rf^”(Lff'jl™^^ requesled by ihe Zoning <br />consultant expenses incuned in review of this application and/or <br />supplied is true and correct to the best of hisSt^ Swledg^^^^ '"'■“'““io" <br />Applicant’s Signature <br />OWTVER'S SIGNATURE <br />Date <br />entry onto the property by'clty s"aV MMuhalit* agenu' Cor^m s''^"'''' ‘“•'horizes reasonable <br />members for purposeso^estigation and verincat'ion of thU requ«t.‘°" <br />Owner’s Signature ______________Date &//(>/^? <br />rr c.;!‘i