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•2* jrrr <br />-1 <br />f <br />fi <br />1. <br />2. <br />3. <br />4. <br />required submittals <br />mfm--" ■"“»«■« ^T »PBli«t)oii ^Ifa tlllnt date la goto <br />Ylf”** ^yliratiftn \7 >K fonaidered comPlggl <br />O*o.«” t of owner, wirhin ISO' (you mu,. obo.« to li,t from <br />- Dep««rem of Finance. A^3. Gov. Cenmr.J48:3221>. <br />Pta. Map (obuined “T hcI'^ ,urveyor) and include hardcover <br />=22£1.‘SSJ-S »■. M- <br />SSS£.‘»~>».«-“rt S“ •n-tX^JSS ■"— arewpoKd. In addition, ptovule one (1) copy « A xll rot^rw <br />YlrttKP* ippUcatioil iS-T <br />6. <br />7. <br />APPLICANT’S SIGNATURE ;„fonMtior. 'eauired or requesied by the Zooiof <br />THe ippiicaoi hereby agrees fees^t^^ i^vered by original fee payme^ <br />Date Si <br />Applicant ’s Signaiu <br />OWNER'S SlGNAnjfc , ,n thi* aoolicauon and ftmher authorires reasonable"• r*rr^—STc-— - c-»i <br />Owner’s Signamie^ ^ - <br />Applicant must have <br />Meeting. Planning C <br />t <br />Mioo Meeom, are held oo to dad Monday « «*“ <br />♦ ' . »» 1 1 Mv'' ’ *i « <br />this chaagi prior to the meeting- <br />A Zoaing Office of <br />8