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required submittals <br />-------Completed Applicition Fonn. <br />“• ------Deecribe request in deUil. * c-- j q; -1 • <br />■ — £Sr'"^>00 - «l .0 h„dou, f„, <br />changes in elevation (grades). Mntouts) if land alterations involve <br />'^ilh an interest in the <br />list 6f my otherIWsoni you wish noUHed of this appliMtii^ <br />submitted.) ^ ”'*«>ngs of all documents, plans, etc. to be <br />•PplicaUonunoicomple ’tehrtSXvrtafo^io^'L ’^j”^^^ remember that >our. as.» „oi oeen included. <br />« complet. <br />---------------------------Date <br />AFPLICA^T•S SIG.NATURE <br />The applicmt hereby <br />^mis'trato^; <br />unusual expenses mcuned in revieu- of thii application'r^ *"*“*’ payment) <br />applied IS tnie and coneci to the best of hislier ImotWedge^ ^ “fonnalic- <br />Applicmt’s signature_________________ <br />OLIVER’S SIGNATURE <br />A? ^7Owner's signature <br />muu have all subminali into ib/ciiy ofBc« .. ’ ' ------------ <br />'yn . <br />Date <br />it <br />« <br />is usable to anrod a <br />advise the <br />*^e <br />1