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FRcn :FflK NO. : <br />VUtllHIII <br />Oct. 31 2002 05:13PM P2 <br />W!1 Mll/lJI MfJ <br />A4JMC0I FHpfity Owacrs' Ackaowladgcacat Form <br />I (we) _LPP. (UpblT' __of Bnl^ Pf ir\i <br />{print nMM(t)][print additaij <br />^ « oC file propeiw loc«o^ <br />** fVili li fif^*** ifftuod to n Land Use Applkttioft No. ^ <br />.iDcbo'' <br />Frepcftjr OwMT <br />Pippeity Oomgr <br />•seMasfssetaaSMavSAesMaSaaaMtA******.* <br />I (w) <br />[prifit Bamc(s)][print addieu] <br />hfvo Ririfo^ 6c pins fir 6c proposed inpravcaeni or proposed use of the property locotod <br />» ■— «Iio leftned to as Land Ulc AppUetta No._______ <br />I (tM) mdauMBd that in akacodai this agkanwit^y*tw4>^ j m qqi ^drmA <br />dcdaio approval or diaappraval of the property or use but mcroly to eonfirn* for foe City <br />CouncO foar I fwe) cb (aro) aacBC of foe hupiovaiae&t pleas and font foe proposed oei^hbai'a <br />prqiect or use roquiraa Council approval. <br />Property Oaaisr Date <br />Ptopci^ Owner <br />If you have any bfonutfoo that auy assist foe City in foe review of this T«Hf Um <br />p^?te ^ ^ Buildiag * Zoning OfOce ai IcMt 10 d«yi