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X (w«) <br />Adjacent Property_C^ers' Acknowledgi tnt Form <br />J i/^ L.^er"S of 4 5~Q HT^A <br />[print naa«(s)] J (print addreaa] <br />hava raviawad the plana for the proposed improvement or proposed use of the <br />located at ^ also referred to as X»and Ose <br />Application No. _____. <br />I (wa) understand that in executing this ackn ^wledgemantf X (va) aa. <br />(are) not asked to declare approval or disapproval of the propavl or uae <br />but merely to confirm for the City Council that I (we) am (ara) awara of <br />tha improvement plans and that the proposed neighbor's projaot or aaa <br />"7 s <br />Data <br />Date <br />If you have any information that may assist the City in the review ot <br />this Land Use Application^ please submit your comments to the Building & <br />Zoning Office at least 10 days prior to the scheduled meeting date. <br />rr u