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siki.-A. <br />f <br />mm <br />m <br />mEsnrr osb or raoramr <br />RreMnt toninq Diatrict 1 <br />FrttMOt of Ffoporty Besidoatial <br />(•pocifyl <br />oBscmirricii or umo/awst <br />itBQoxmB) mmmrTMJB <br />^l. Coii^iatod J^rllcatlon Foni. <br />-2. <br />9 <br />I. <br />v/5* <br />e. <br />I. <br />Cartifiod Proporty Ovnars List of pwnart wlthiii 9SB* fyou clnj obialfi <br />thia list froai Hanaaplii County Dopartnont of Pinanco A*€OJ Gorornsantt <br />Cantar 348-9271) <br />Staapad, la^l altad anaalopa* (ilO) pca-addcaitad to aach of tho luuMa <br />on tBa aboaa list with no ratom addraia. <br />Cartificata of survay. <br />Topographic turvay (axiatlng and propoaad contoora) if landl <br />aitarationa involva chaofaa in aiawation (gradaa). <br />Construction plan, if appiicahla ftaa staff for raqwivosiarti). <br />Plat Map. <br />hs an addaodua to this application, piaasa attach a saparata list of <br />any othar parsons you wish notifiad of this application. <br />Tha a^^plicant and Proparty Ownar oust sign this application. Piaasa <br />raawaa>ar that your applicati<Mi is not coaiplata if tha abova inforaation has <br />not baan includad. <br />Cartification by toning Dapartaant that Land Usa Application is coaiplata. <br />Zoning Officials Signatura Data <br />APP1«XCAIIT*S SIGHAltmi <br />Tha applicant haraby agraas to provida all infornation raquirod or <br />requastad by tha Zoning Adninistrator, agraas to pay all faas and/or <br />unusual expenses incurred in review of this application, and certifies that <br />t!ia infornation supplied is true and correct to tha bast of his/her <br />knowledge. <br />Applicant's signature Data <br />OMKBRS SIGHATURB <br />Tha owner hereby acknowledges and agraas to this application and further <br />authorized reasonable entry onto tha property by City staff, consultants, <br />agc^nts, connission nenbets, and Council mcNsbers for purposes of <br />investigation and verification of this request. <br />Owner's signature Date 7, / ? f-r <br />Applicant must hav^all submittala into tha City c :ficea 25 days before the <br />Planning Commission Meeting. Planning Commission icetings arc held on th** <br />third Monday of each month. Applicants must bo \ resent at all scheduled <br />review meetings of the Planning Coomiiasion and Conn* il. If an applicant is <br />unable to attend a scheduled meeting, please maV-i a:..'rangement8 to have an <br />authorized agent attend in your place and advJ.jjr the Building 4 Zoning Office of this change prior to the meeting. <br />4‘- ■ '> „