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REQUIRED SUBMnT.VLS <br />All of the following infon"^*«»n must hr siihmittgd hv the application deadline date in order <br />fnr vniir to be considfrfl) <?omplet£i <br />$ us. of owners wiU,in ISO’ (you nrus. obtain Uus Us. from <br />— WU. Counw Depanmen. of Finance. .A-603. Gov. Center, 343-u27I). <br />Plat Map (obtained with j surveyor) and include hardcover <br />“Ceninca.e of Survey (signed by a ^ ,1- for“ calculations as required. In addition, provide one (1) copy 8 A xU <br />reproduction. <br />1. <br />2. <br />3 <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />j ^ osed elevations) if any changes in existing grade <br />/ Topographic suney ( . g P x 11" for reproduction. <br />you wish notified of this application. <br />__Additional items as may be requested by City staff. <br />‘nnlienyUh indlliUll. <br />APPLICANT’S SIGNATURE ;„fonna.ion required or requested by the Zoning <br />The applicant hereby agrees “ P™*^ (sta^time not covered by original fee payment) <br />Administrator agrees » W dia. d« <br />LtLur^pl-^ arc^err^s. Of his(hj;Vw.edge. <br />Applicant’s Signamre U<^---------Date <br />SSy Sedges and agrees to this <br />,n.rv onto the property by City staff, consultants, agents. Commission members, anu <br />members for purposes of investigation and verification of this request. <br />Date <br />8