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T OF crm <br />n (^N 100.00 <br />1 vij. 00 <br />^T~THAHK YOU <br />cool f<Oi 70S:l <br />wetland or <br />or more <br />within 75* <br />•'. -V.--■ •■ ■: -i'-’- <br />H-.1 fv'rtrPRESENT USE OP PROPBRTX <br />Present Zoning District <br />Present Use of Property <br />^ • <br />Residential <br />Other (specify)_ <br />description of request ^ ^ _ <br />Describe request in detail: <br />OL. ru-r' <br />1 <br />2 <br />4 <br />5 <br />6 <br />7 <br />8 <br />required submittals <br />completed Application Fo^. owners within 350* (you can obtain <br />thls‘l'i't rr'rH«''„eprn"olntr:>epirt™ent of Finance A-603 Governpenc <br />Sta^Jd^UaV’ slaed envelopee (#1C> pre-addressed to each of the names <br />on the above list with no return address. <br />Certificate of survey. -nd proposed contours) if land <br />Plat Map. ^ -nnllration, please attach a separate list of <br />As an addendum to .®PP“Jffied of this application,any other persons you wishj^otifled^or^rnis^^FH_________________________ <br />r£4^e^r'ihtryo"%pp!?cIuon'rs"Lrcomp\^^^^^^ :^"\1,e“Ko«"\n£o"r;atior has <br />not been included. - - - - - - - - - - - - - - - - - - - - - - - - - - <br />^rr;iircrt'i;‘n'ir^»ir,'D;;'a;;;:rtThat tana use Application is complete. <br />Date_ _ ___ _ _ <br />Zoning Officials Signature_ _ _ ___ _ _ _ _ _ _ _ _ _ _ _ _—- - - - - - - - - - - - - <br />applicant's signature nrovide all information required or^r,ue^^^Vtrhh^e"ztn^lnrrdmln^stt^/t^n <br />S^n^^"op-rit/\rti:e ^nf -e best of his/het <br />knowledge. ( \ V , <br />Date _____- - - - - - <br />Applicant's signature* i -V—j^ " ' <br />OWNERS SIGNATURE aarees to this application and <br />The owner hereby acknowledges 9 by City staff» consultants, <br />t^^'n^'r^'ce^^on mem“Ls'; and louSci 1 members for purposes of <br />Investigation and verUicaUo^of thU request. <br />Date <br />o ----------- ------■ _____________V ------------------------------------------------—--------------- 4-h#> <br />k5:Ss.x» <br />authorised agent attend in your place and advi-e the Bui <br />Sffice of this change prior to the meeting. <br />f • . •. <br />. * . 1#: • r . f <br />-■■.it;.. <br />• ■ ■■ . / ; <br />: V <br />:V;: <br />.• v: ^ ■■ <br />1:-;: <br />i'l " <br />a . ■ J <br />■■■> ■■:■ ■■•■■ <br />W-iC <br />: • \ -X":. <br />1118i-.: <br />I ■ : > <br />' ■ . -'..i . '. <br />: yv- I ■ ■ 4 <br />.: V;,■> , t