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r <br />^ V • *■ —* <br />''V -- j : ^/i <br />I (*^’c) <br />Adj^Pro Jiy oSn^’s- A'£isfif-l*d3«^t Fonn <br />^ [print nan:e(,s)J <br />^ ^ for th- -ronoscd imorov'caiect or proposed use of ±c pr^cerr/ located <br />have reviewed referred to as Lied Use Applicauon No. <br />Hwe) understand that in ^o^oe^or use'but mere*iy to confirm for the City <br />^ M m mm * i ^ O V 3. L . <br />Dace'7^/S' /f IaJc^Wc^'^^ <br />'€n\.^M'ekrrU <br />Preperr/ Owner <br />af******"^*** <br />Dace <br />mrnm-mmM'. <br />m » » * * <br />I (we)[prjic nameis)] <br />H :r-"foven’ent or oroposed use of *die procex/ located <br />have reviewed ±e plans tor j^cL Use Applicaticn No. --------__• * <br />I (we) ut:d=rr.a.-.d that it. t.-.e'-adtig this at”Sr=«irto wtSS Tc S'cir/ <br />declare approval or ‘ <br />Councci mat I (wc) am (are) a-var- or a*., <br />nroiecc or use requires Councu approva.. <br />•pnne address] <br />Property Owner <br />Date <br />Dace <br />:err/ uwnc. ^ <br />If you have any inforxnauon i'Zoning Office at least 10 oays pnor <br />Aopacadom please submit your comments to the Bunm.? <br />to* the scheduit d mcenng date.