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t V —• A ^* ' ♦ <br />t <br />rvncrs' Ac!<nowti«. • r:^0!;‘. Form Adjacent Propatt/ - _ _ _____ <br />I (■-> -■[print namelt)I \ <br />prir.*- address <br />[print nam«v..i V <br />Vh#. cro-'TS'^d iniorovr' e; t cr pror sea - <br />hav. r.vla;«d the ai :tCtr -. to . , lar.d t.e <br />property Ic^ ^ <br />Application Nc. _, ^ w ^ * - •——— <br />j V- jit ir executing this|?ckn <br />I (we, • val cr diaapcrt .-al <br />O'i :^- :it, I am <br />tval o£ f p.tfer-./ cc use <br />*-t I (WC. (are) aware of <br />I (we; understand t;.ao disapcr <br />1 K a«leed to declare approua - j (ye, ‘t, tatei awo.^ -- <br />b“%.relu to conilrm for^the^^^^ project =r use <br />j:jol^?.Tou'n ”li"l /pUval. <br />Cate <br />I y\A<^-% <br />Propert^'t^^^ <br />I <wa) <br />(print naxne(s)l <br />[print address ] <br />y ^ fc «k sa *- - <br />^ ieonra^retent or proposed use of the <br />have reviewed the plans for the propose “• referred tc as Land Us^' <br />« . _ ^ ^ ^ J 9 ^ _ _ _ _ _ _.... ■■! *■-'property located at <br />Application Mo <br />I (we) understand that in <br />,,„,Ut..Kedt»r^roV?hrcYtycUoVq^^^ ^*«>- <br />but Mrely ‘® ,„d Jhat the propose! B«-7hbor's projec. - <br />the improvement plan ana <br />re<iuirea Coun-ril approval. ^ <br />- i <br />» / <br />✓. -*• <br />< e- ■ <br />•/l' j. <br />Date <br />P^-operty Owner <br />property~^oer <br />Cfate <br />I* you have any "ShooYenVs'ti ”thY*0undY«Y^ <br />Un*l ‘»ro«“« K.'V»"i.yi prior to the eoheduled ...tin, date. <br />I <br />NOU 18 *9! IS;24 J i C t 91 ^ Q 3 : . 3 1 4 <br />y ■ <br />-**.• *