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2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />requirep submittals <br />1 . tX Completed Application Form. <br />___ Desenbe requert ^ owners within 350 ’ iy oxi can obtain this list from <br />Finance. A-603. Govennnen. Center, 348-3:71). <br />^ cenmefte of Suney (signed by a licensed suneyor) - refer to handout for sursey <br />you wish notified of this application. <br />VOU ARE REQUIRED TO StTPLY 30 <br />"scardraX^a?. d™ ntents, pla.. etc. to be <br />submitted.) <br />The Aoolicant and Property Owoer must sign this application. Plea-- remember that your <br />^plicatton is not complete if the above mlotmation has not been inc.uJfu. <br />Certincation by Clerical Department that Utnd Use .Application is complete. ^ <br />Initials of Clerical Slaff:___--------------------------------- — - <br />^JTappIkaltembTal^^^ provide all imonna.mn re^irri orr r: ~ <br />supplied is true and correct to the best ofj^/her taowledge. <br />!)L*-* r <br />OWNER’S SIGNATURE i nnH further authorized reasonable <br />members for purposes of investigation and verification of this request. <br />- Date.Owner’s signature <br />5 - (W <br />Applicant ntus. have al, sabnnnals into the CIO- oincc 25 days befo. d» Pla^g ^^“^^^“Tall <br />Mecung. arc held on dte dtird Mont^y of “ o«tin,. <br />of this change pner to the meeting.