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r ^ • • <br />hequiked submittals <br />ABrftfct aUxifeftJirilai <br />1. <br />2. <br />• i* »♦ <br />— Hcaepn Couay Deputmea <rf Fiouce. A-<03, Oo*t CnMr. 348-3271).V ss"txs*(Sr»"r?s- -»r., <br />M to «“ (•’ copy 8A x II f« <br />(e»«m|«- propo-d »ycl^ to^ |nd. <br />— VC pfapoKd. toxddilioo. ptovkk one (1)copy 8W x '* f<» <br />— (i-tod. o-hui or <br />“ of»yod«p«c« <br />~ you wbh notified of Itox »ppua«>oo. <br />ir^4]fiti~»«i iitnu as niey be requeued by City tun. <br />1.;.;, . .,• <br />InfonDatioB suppikd is mie ind correct to the best of his/ber knowledge. <br />>^ppUcaot*s Sigmiure <br />OWNER'S SIGNATURE .«d ftmher sutborirer reasonableTire owner hereby acknowledfes and agrees to this ippU^n^^^ tniCowncU <br />entry onto the property by City sttff, consultants, agents, (^mmissiOT <br />^!^!bers for purposes of investigation and verificaooo of this request. <br />jd <br />I. <br />thb change prior to dre nreeting. . . <br />8