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required submittals <br />*• Completed ApplicaU'on Fonn <br />r* —^ ■ Describe request in detail <br />3* ■/ -__A_. <br />rcqucsi in Cetail <br />- A-603. Government Center! mImT i ......'"““"‘y *>^"«nient of Finaiice. <br />■ * “'«>»«<• .-e>or) . refer to h„dout for .ort ey <br />~ =SS“:r-“ '" “•• »• fiCA. «,.,d<|en<lum lo thisTnni„? „!“''“'“''^'"“)- <br />P«»nj you«ishnotinedofS!saiplicati2'n “' “ "P"“« °f *ny other <br />CTIw™irTO”sM?LLrR*‘^'^ DOCU.MENTS OR COPY <br />.pplicehon ^ntember that ,pur------------ „„ „ot been included. <br />S“f c".el?^;i!?’ ^ Application is comp,etc. <br />---------------------------------- Date <br />APPLICANT'S SIGNATURE <br />AdmWst'S! IddSaffcJI (?uT,!mT <br />suonf «'*«• of this J,oTe.r "T'' '■«supplied IS true and cotrect^e best of hisdier knwWge <br />Applicants signature ^ i>tl -t -, <br />------^ ^ f iCg|^—•_ Date O 3 <br />OWNER’S SIGNATURE ~ <br />Sera'f "" “«^*^ihmts ?gemf ««onablemember, for purposes o^estigation and verineatbn of th,'. Council <br />Budd.. * ^ <br />V- <br />0:0 <br />^WtblAif wr.- <br />; mh- •■ <br />C h CLJiJ