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A • ■• <br />REQUIRED SUBMITTALS <br />1. <br />2. <br />IPDiication to be coiiild»r»^ complffy. <br />- *^ Completed Application Form__ \»ompietea Application Form <br />“ ESr“-=^“-i^'-=r.sr <br />5. <br />6. <br />8. <br />^ Govt Center, 348-5910). <br />r <» T ^ 'lews (provide one (1) copy 8'/," x 1 n <br />List of the Itgal names (include marital status) of all persons with an Interest in rhi. <br />- would include name(s) of appiicant(s) i^nTc^l <br />~ >t w-“« of o«,cr penons <br />^ Addiuonal items as may be requested by City staff. <br />APPLICA.NT'S SIGNATURi: <br />consultant e.xpenses incurred in review of this application ^ paN-menl) and/or <br />.applied is uu. «d concaj^, or UsA^^ Zt^Tc. <br />Applicant ’s Signature ^ — <br />* --------PCT----------------Q-, _________ Date '7- //• d) S <br />0>WXR ’S SIGNATURE <br />JnVr; s"afrTn.uU.'„« r ,e«onablc <br />members for purposes ofm^ation'and veririca;ioifTtWsrqu«r" f^O“"«" <br />Date 7- ^/-0 3 <br />Owner’s Signature <br />~P >VLa <br />Meelinr Ttoin'g Co^Tuim MeetTiigf'L” held on‘u>^ m*°d'M'd “™’f* *^0™"!“!“" <br />r>W,Qr, .A-* - 'W f