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1 -1^ <br />required submittals <br />if^^atkm ^ submitted <br />r*w VI iwnr »-■ ' hr romiihrHapohcat***" *® ®e_£2!DIHaSH-iat.K»-»*“ <br />1. <br />2. <br />3. <br />4. <br />5. <br />Completed Applicauon Form 150’ (you must obtain this list from <br />put Map (obtained P"^ surveyor) and include hardcover <br />t ^idorprovide o« (i) copy 8'A- x ir for <br />calculations as requireo. u» <br />:?^tc survey (existing and proposed elevarions) if any changes in exisring gra e <br />proposed <br />6. <br />7. <br />Addition provirte^ 3,^., ,n. <br />please U a separate iis. of any other persons <br />8. <br />9.9 Additional ucuo . <br />>Iiii <br />and/or consultant expc^* to rhetbest of his/her knowledge. <br />iTTr iT D p„ <br />AppUcant ’s Signature <br />SSSS.==£"^—““members for putposel bAingest*auon gifu ^ ^ <br />owner's Signature ^ Commission <br />this change prior to the mcctmg. <br />8