Laserfiche WebLink
:>r <br />4. <br />REQU^D SUBMITTALS <br />-fr Completed Application Form. <br />2* —Describe request in detail. <br />----muf otairtL? rrio'^He • '^r <br />y. Finance, A-603, Government Center, 348-3271) °f <br />------- refer to handout for survey <br />T7~ 'T' “ application if not included on required survey <br />changes'in elevmb^, fgmd«® <br />krl List of the legd names (include marital status) of all persons with an interest in <br />Constnrf*^’ name(s) of applicant(s) if not current owner(s) <br />Q ----- Construction plan, if applicable (see staff for requirements). ^ ‘ <br />------- As an addendum to this application, please attach a separate list of anv other <br />persons you wish notified of this application. ^ ^ ^ <br />FOR 1^^Du??iON ‘’rMV.'’^vDOCUMENTS OR COPY <br />d?cLr pfan^r <br />‘---------------- Date <br />APPLICANT’S SIGNATURE <br />IdmS'?"‘ "" required or requested by the Zoninn <br />Admtmstrator, agrees to pay additional fees (staff time not covered by original fefpa™e„t) <br />SlZ”..ppiw i. ,p, „„ <br />uh^mi<n(L^Applicant's signature <br />OWNER’S SIGNATURE <br />The hereb} acknowledges and agrees to this application and further authorized <br />^d Could! 3S«nts, commission members^and Council .membersl^utposes of investigation and verification of this request <br />Owner's signature p h>,Date_