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REQUIRED SUBMITTALS <br />Completed Application Form. <br />—Describe request in detail. <br />Certified Property Owners List of o%vners within 350', labels and plat man Vvou <br />-------Attach legal descnption to application if not included on required survey <br />----chTiTill'eS ““ <br />List of the^gal names (include marital status) of all persons with an interest in the <br />-■ Construction plan, if applicable (see staff for requirements). <br />fuSdl™’ plans <br />The Applic^t and Projwrty Owner must sign this application. Please remember that vour <br />appl.cat.on ts no. complete if the above information hi no. been included <br />---------------------------------------uate <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />APPLICANT'S SIGNATURE <br />s .r“.s <br />liE rs» “ <br />Applicant ’s signature Date lo/o/ /o3- <br />OWNER'S SIGNATUL^ <br />members for purpos^ investipatinn onH v .e.r..,.:L ; '^C'^bers, and Councilmvestigatioi^d verification of this request. <br />Date /g/ /l>9^Owner’s signature <br />sr/s r;hTm~ r rr~ ’p,rr.dr^^ <br />»•*•w • i ■* *<JY <br />- ^ * a / <br />A*