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; fy <br />rr • « I• • <br />V t •>/ ■•! > * - I <br />I (we) <br />Adjacent Property Owners’ AcknowMgetnent Fonn <br />of 7O7C <br />----------"'[princ address] <br />■prim amne(s)] <br />^ ^ -caowledceatent. i (we) am (are) act as.cta to <br />I (*-e) understand dtat in eaecutmg ^oreiy to coni-ima for tne C;^ <br />deciLrrpptovai or ^i-PP-^-'^rL^Sove^cnt pians and that -^e proposed netgnPor s <br />C ^unci2 tnat I (we) am (ace) a-a are 01 - . <br />project or use requnes Councu apptoval. <br />Dac£ <br />Date <br />Procerr/ Owcer <br />« 91 ^»i *i V M mm » y*-^m mm mm' <br />mmmmmmmrn m mmmmmrnm <br />m m »»<!**•«*^ „ W **»»** »*Mmmmm <br />or <br />I (vve)[pane address] <br />[pane namets)] <br />^viewed the piana tot Aopto^'n No. _--------■ <br />eaecuting thrs ^‘'^“j'jytormeUrto'Stito fo^ feCizy <br />projec; or use requires Councu approval. <br />Date <br />Procertv Ov»xer <br />Dace <br />^erty Owne7 ^ Lan^ Use <br />„ ,on have any infotmahon om^^Aopneinon, please submit your comments to me b <br />to* the scheduled meeang date.