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1. <br />2. <br />4. <br />required submittals <br />.n ,K. infonnatioD m.m IH- sfhminM hv th^ opplirnriffn ilr;.rtline dalt in Qrjg <br />for vntir aoDti^inn to be considered completei <br />0^ of ownen <br />—■ Hcnnepm Count>- Department of Finance, A-603. Govt Center, 3480^ ). <br />i'^lat Map (obtained with property owners list). :„rinHe hardcover <br />i/ ^Vetches or plans of floor & elevation views (provide one (1) copy 8 x 11 ). <br />— LUt of thriegal Kimes (include marital riaturi of all persons w.th an m.ercri m the <br />— nroDcrtv Tlds would include name(s) of apphcant(s) if not current owner(s). <br />AS «?ddendum to dns application, please anach a separate list of any other persons <br />you wish notified of this application. ^ ^ <br />^ • _____ 1 AC t if <br />5. <br />6. <br />7. <br />8. <br />9.\y^ Additi <br />(CkV^ <br />ncev jfcT <br />^rntinn. Please remember that vour / <br />APPLICANT’S SIGNATURE information required or requested by the Zoning <br />The applicant hereby agrees “ P™ ' ’ covered by original fee payment) <br />Administrator “ P“>'certif,es that the <br />rL«i-rc?rtorb«t of hisihJi^hnowledge. <br />Applicant’s Signature fM <br />OWNER’S SIGNATURE _ onnlication and further authorizes reasonable <br />]^^“r'o agents, commission members, and CouncU <br />Sers for pSrpLs of investigation and «rir,cat.on ol tins request. <br />Date <br />Date 1 *1^4*“ <br />8