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)C nOnkhl•I <br />T nCCTrC <br />U VI I X L*c <br />Tki <br />7i. <br />C*r- fV <br />V\/ m W <br />C'/7 n/\ <br />W 9 vvru^Aik' vmiitiniti\ I vv <br />ni ufii TiOi <br />VI IWA I XiL • <br />nA /r>ivnf i^x/ <br />6. <br />7- ^ <br />8. <br />REQUIRED SUBMITTALS <br />1- ^ Completed Application Form. <br />2- ____ Describe request in detail. <br />------- Certified Propern-Owners List of owners witlun 350 ’ Cvou can obtain this list from <br />, ____ of Fin^e. A-603, Government Center, 34W2T <br />------- SomalL”^ “ "“'f™' fof <br />Attach legal description to application if not included on required sur%ev <br />Topographic survey (existing and proposed contours) if land alteratio'ns involve <br />changes m elevation (grades). m\oive <br />------List of the ^gal names' (mclude marital satus) of all persons with an interest in the <br />propem This would include nametsi of applicant(s) if not current owner(s) <br />-------Construction plan, if applicable (see staff for requirements! <br />------- 10 this application, please attaci, a .separate list of anv other persons <br />vou wish notified of this application. * ^ <br />“““'"'"‘S. plans, etc. to be <br />The Applicant and Propem- Owner must sign this application. Please remember that vour <br />application is not complete if the above information has not been included. <br />Sf'aenc^afstff-^ <br />APPLICANT S SIGNATURE <br />The applicant hereby agrees to provide all information required or reouested bv the Zoninn <br />additional fees (staff time not covered bv original fee pavment) <br />Lpphedrtrae'aSr' t ‘V‘''7 ^PP'i^^tion. and certihes that the information supplied IS true and c^ect to the best of his/her knowledge. <br />Applicant’s signature Date <br />OWNER’S SIGNATURE <br />T^e owner hereby acknowledges and agrees to this application and further authorized reasonable <br />meXTfofpulS- n-P-be" -TS,“ncUmembers for purposes of mvestigation and verification of this request. <br />Owner’s signature ______ <br />A1 V <br />CoL^io”'MceTmg^'ie^™id^^^ P'^nning Commission Meeting. Planning <br />review mectmes of the Plannmt r ‘ must be present at all scheduled <br />please make arranEements to hatp Council. If an applicant is unable to attend a scheduled meeting, <br />of this change pnL to tLe m^tbg ' ^ 0^“