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- u •'V■••a vC <br />ij t <br />r?.Vcrxiic <br />, e»%.♦' <br />required submittals <br />^n nf thtf ^QQ <br />toj <br />k’ <br />I <br />8 <br />______ etiiiriiijini iflmplTtn <br />Compicttd Qf owners within 150* (vou must obtain this iist from <br />hTTfoSed surveyor) and include hinteover <br />P^vide one (1) copy S«' x U* fer <br />^Sjl^uavey (exSsdDg and P«^ *****^1“ “f ***^•«> nrooLed In addition, provide one (1) copy SV4 x 11 for reproducnon. <br />SiaS^^alaai of floor & elevalion views (provide one (1) c^ 8>/4 x U ). <br />ST^ l^uames (inciude maiiial status) of all p^ns witlt an mtetea m t!» <br />^ applicaiioii. pleuse aitach a separate list of aiflr «h« P«s«» <br />YOU wish ooiifled of this applicatioa. <br />9 __Additional iieaa as may he requested by City ttaif. <br />certifle* <«« -'» <br />mfbnnation suppUcd is inie and correct to th^ best of his/her knowle^^ <br />Applicant's Signature <br />b^y l^wledges and ^rees to <br />entry onto the property by City staff, consultano. a^e <br />members for purposes of invesiif aiion and venficanon of this request. <br />owner's Sijitatuie -4L^ >4^^^==-D»“ - ^ ~ ^ —/ <br />Applicant most have all submiaals into the City offices 25 daj^ ttch^monih. <br />rht< change prior to the meetisg. <br />8