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r <br />-?1 e \ i /I <br />1 <. y BJLa«<VJ. <br />I (wc) <br />X PropeiW AdiiiSWledgeif^feat Form <br />'T^h Ul /\AJAfFPf o(_2S74- d^cPL <br />* ~ [prinl name(s)] <br />Bp <br />[price af’dr <br />^ fh^ nlaTi<; for the prooosed imorovemecC or procosed use of die propen:/ located <br />r^:f.Tp r% «fcr«d to'.3 Und Us. ApcUcadoa No. <br />I (we) uedersuod that u2 fo^ <br />S iTtTdra^Taro) awatc of the improvetneat piaas and that th. proposed ne.ghbofs <br />project or use requires Couccil approval. <br />7 h-z <br />Pto^rOwi^^J^(7 ("7^/S' 7^fJC€. t'S A l/Oo>J[fB£7L>(— <br />/fif^veMSMT-d <br />Procerr/ Owner Dace <br />«»cxa«»a*' <br />mMm <br />I (we) <br />[print .lame'^s)]foniit accressj» % <br />ac <br />r (we) understand that in e.xecuting tins .'o eonfinn for xe City <br />declare approval or disapproval ot __; .ji3, prooosed neighbor's <br />Counctl Xat I ('we) ant (are) aware at _e unprovea-. ?i--a -o <br />oroiect or use requires Councu approval. <br />Prooeny Owne: <br />Dace <br />Property Owner <br />Dace <br />If vou have any informadon Xat may Offi« at least 10 days prior <br />AppUcidon. please submit your comments to the Bunmng i Zonmg <br />to the scheduled meeting date. <br />j r <br />n.