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* <br />(attach additional ahaatt if nacattAry) <br />DIMED SUBMlTTiad <br />J^ll cf tha folloatna Infooaatido nuat b« autalttad by th<» application <br />dnadlloa data la crdor tar yoor application to ho cono id• ro d coaylatai <br />I« Ccnplatod As-plicatioo fcra <br />2., ✓Cartifiad Preparty Ovtara Llit cf ovrara vithia ISO* (yea auot obtain <br />this Hat free Rannat'ln Coarty Tapartaant of financa A-403 d^^vt Ctntar <br />341-3271). <br />3. >^Plat Map (obtainad with proparty ewnara liat). <br />4. ✓ Cartificata of aurvay (si^nad by a licanaad auraayor) to includa <br />hardcovar «lculati«aia aa raquirad (provida on# *1} copy ®*i*xll* for <br />raprodoctloB). <br />5. Topographic aorvay (axlatin^ and prepoaad aiaTations) if any changaa <br />In axlating grada ara propoaad (provida ona copy S^i^kII*). <br />I, ^ Skatchas or plana of floor & alavation viava (proaida I cepy •*i'**l2*). <br />7. Aa an addendua to thla applicationf plaaaa attach a aaparata lilt of <br />any othar paraona you wiah notified of thla application. <br />i|. Additional itana aa nay ba raquaatad by City ataff. <br />The Applicant and Property Ownar auat algn thla application. Plaaaa <br />ramerabar that rour aarlanca appli cation la not coi^late if tha abeaa <br />iafocaatioa had laot boon laclodad. <br />APPt.icAirr*s srcNATOw <br />Th« applicant haraby agreaa to proaida all Information raquirad or <br />raquaatad by the Zoning Adalniatrator. agraaa to pay additional faas (ataff <br />rlai9 not covarad by original faa paysant) and/or conaultant axpanaaa <br />incurred In review of thla application, and cartifiaa that tha information <br />auppllad ia true and correct to tha b^t of hia/har knowledge. <br />_____0.CApplicant*a Signature <br />fix8 XxcAwXon# Anci <br />rract to the b^t of <br />id <br />omats SlGlIATUIlB <br />he owner hereby ackowledgea and agreea to thia application and furtnerV <br />authorixea reaaoriable entry onto the property by City staff, conauljtan^a, <br />invaft/gii-agents, COTBEisaion'raeiBbara, ind'’Council aaabara for purposaa of <br />%% <br />Office of thla change prior to tha nieating. <br />J