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* <br />4if>. <br />ens? <br />d on <br />5re <br />• PJ^ESBNT ose op property <br />Present Zoning District <br />Present Use of Property <br />5^' <br />^ Residential_ Other (specify) <br />description op request - - - - - - - --- - - - <br />Describe request in detan . -7^ / a n <br />^,Ci aiAfx unH ^^ (oajP 6<{7 jf /v^y-^xr/ <br />~___ ___-------------tO/ r?AV»^/1 !->, ^,rr. ^ <br />required submittals - - - - - <br />1. Completed Application Form. <br />Certified Property Ownerc^’t*''?"''’ <br />on the abovrlisrwrth®nrre?®rn addrefs.®'^'^'^''®®®®'^ *=° the names <br />Certificate of survey i . jr. ■ . vJLv^(yx£fjir-' <br />5- •*®««trucl^on- planT if^ppllcable.- <br />v/ 6. Plat Map. <br />r™ <br />»PUCANT-S SIGNATDM - ------------- Date^------ <br />SHC£HH;FF- <br />Applicant’s signature'/4.i//>;v<4 /a...4., ///.y;/ <br />T-OWNERS SIGNATURE “y----7"------------- <br />Sffy ‘Aaf f"" <br />investigation of%"h^ia^%-U. “0“' P-P^oirs-’o^f <br />owner;._s_ignature ///^ J /,,, ,, <br />PlainrnrcZLL “^n Siirf"*”"'":?ClVy ‘;m;;;ifr^ <br />third MindaT of each /i-nning Commission MettiLs ./Jl **’® <br />review meetinq. of Th *PPlioants must be rrHent L - ' ’ •-