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♦ <br />Adjacent Property Owners' Acknowledgement Form <br />I (we) <br />Adjacent: rropcxuj ----------------- A^i a* , <br />4fty)ot_ JSMMLMiJhai^ <br />. -P—:* , _ X 1 » ‘ (print addreis][print name (s)] <br />^ for the proDOsed improvement or proposed use of the <br />r^pemTolafea also referred to as Land Use <br />Application No <br />, » j in executing this acknowledgement, I (we) am <br />Ure, 'nris^d^declare approval o^-sapp^-^^ rwe?t/urerL:re“:f <br />tS: r»rroverenr/l “ns^°n% that tL proposed neighbor ’s project or use <br />requ^j^as Counc:’’ “ <br />-----------irtyfifwner <br />qC 4L- <br />Date <br />Property Owner <br />Date <br />I (we) <br />(print name(s)l <br />of <br />(print address] <br />Application No. <br />, * j i->ia4- in executing this acknowledgement, I (we) amI (we) understand that in executxny . nT><^nAri^v or use <br />(are) not asked **'®'’* <br />th^ rerroverenrpY/ns^:nd\\Vt\L proposed neighbor ’s project or use <br />requires Council approval. <br />laoperty Owner <br />f-J7- fJi <br />Date <br />Property Owner Date <br />If you have any information that may **®^*^^^* ^^to""the^^ <br />."- “J « <br />I