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« • <br />2. <br />3. <br />4. <br />REQUIRED SL’BMITTALS <br />1. Completed Application Form. <br />^ Us, of owners within(g. labels and P>“ <br />^ mus, obuin L list, labels and map from Herme^toToino- Department of Fmance. <br />____CertficaK^o'T^^S a’riceLed surveyor) - refer to handout for survey <br />L^oftht re'"lTa;:,ef?Mude mariml sams) of all persons wid, an Ingres, in die <br />------™ TOS would include name(s) of applicant(s) if not current ownerfs). <br />------STSl“ndum“; frLcZS™ te list of any other persons <br />you wish notified of this application. <br />5. <br />6. <br />7. <br />8. <br />9. <br />Ks sssr.fr?’'.? »itjs='rrsf'sc-sss <br />FOR 1 iv^i V of all jocuments.to-scardra.;. o-n u.uments. piam. etc. to be <br />submitted.) <br />The Aonlicant and Property Owner must sign this application. Please remember that your <br />^pltoL is no, complete if the above information has not been mcluded. <br />Certification by Clerical Depamnen, diat Und Use Applic^uon Is complete. <br />Initials of Clerical Staff. — --------- ^ <br />true and correct to the best of his/her knowledge.supplied IS true ana corrcui lu ----------- - ^ <br />Applicant’s signature ,^4/r (‘AaMuA Date lt)/.C2a/ <br />OWNER’S SIGNATURE this annlication and further authorized reasonable <br />The owner hereby and - commission members, and CouncU <br />entry onto the of dus request,members tor purposes^n^stigatio^ ^ c y <br />Owner’s signature _,s ^ ' * <br />.ppucanimusihavearisu^^ <br />f.°r rl«T£ Sannios Commissio. -d Cou». <br />Date /O! ^Oj <br />Applicam mu>i— -- ^ Monday of each month. Applicanu must oc pr»cui « <br />Commission Meetmgs ^ mminission and Council. If an applicant is unable to attend a scheduled mw g. <br />o/this change prior to the meetmg.