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r <br />rr <br />y /.-1 <br />^ ^ . --------- <br />A'dj^cent Property Owners’Adaiowledgement Form §e <br />I (we) A\ ----of <br />'• ----<J [print mmeli)] [pmt address) <br />have reviewed the plaits for the proposed improvexent or proposed use of tte property located <br />P.,.r also refexed to as Utta bse Appitcauoti No. J2^- <br />. j . thar In ^Te'*utinv this acshowiedvexect. I (we) am (are) hot as.ced to I (we) uBderstacd that m e.w.atui, this ac . <br />declare approval or disapproval ot the -^ opposed ceighbor'sTwera^^VeW 0^Couccn tnac i \.wc; ^ . <br />nroiec: or use rcauLres Couccu approval. \ <br />.a ^ t <br />■< <br />Prcperr/ Owner Dace <br />property OWu.er <br />Wk kW <br />j* ^ * <br />I I'we) <br />[pnnc namci.s)]•pr_a: accressj <br />at - <br />J rh-pr -n —chis acknowledeer.enc. I (we) am (are) not asked coI (we) undersmnd chat m ..cwjcm- - cctinnn for ±e Cicy <br />crojec: or use requires Councii approval. <br />Property Owner <br />Dace <br />Dace <br />pcny vjwutik <br />If you have any Otncs at leas: 10 days prior <br />AppUcaciom please suomit your comments to m. oui.u^* <br />to* the scheduled meedng date. <br />1 <br />il>