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„•'.,; - ;c��+ram•.' <br /> lEA16 <br /> Town of MaAPPLICATION <br /> a 00 <br /> PLAN <br /> - <br /> .: Application Number <br /> P . • <br /> REVIEW <br /> Checked by Date <br /> t i! n f!c .0 1 -� pay Prone � I <br /> App ca t <br /> A / 9 <br /> pplicant s Addressit <br /> �- <br /> r ntative cif any) Day Phone <br /> pep ese ._......_. ., <br /> epresentative'S Address <br /> Property Owner(It other than 3QptiC3nt) yhone -c�v-2 7 0 <br /> &e <br /> Qwner'S Address - - <br /> Please invicare if all carresoondence is to oe sent to LW <br /> he applicant the representative the property owner.�t: <br /> What do you want to do? <br /> '--What is your final goal? <br /> C 02 OS�� A-S eZ'e <br /> 2-.,7 <br /> Prol ect Address lei l S � �'r U�j 19 -- <br /> Marne of tract,development or business (7 <br /> ,Legal Description: Lot Block Bract : A, r?- �P ` 6 Y' <br /> C <br /> Assessor 5 Parcel y umCer _ _.__._.. Fre4ent Zone/G.P. Designationr��'.;f• _f <br /> ,,=APPLICANTIREPRESENTATIVE: I have reviewed this com- PROPERTY OWNERIAUTHO IZED AGENT: l have rear <br /> bletec application and the attached material. The information pro- c ete ap cat, d c ;nt to it iling. <br /> vice❑ i f "curate. I unOerSt the city might not approve wnat I'm <br /> ,:aaoly ,ter. or m:gt” ser r:o � io approval. <br /> • f �I 4- �• f I <br /> ,,�;nea Date { STgr:o�� v ate <br /> Received by Date Receipt Na <br /> Date <br /> Permit approved by <br /> 0. <br /> Comments <br /> -;���� jinn_..r_a�rr_.no-_ni_..��:.�rrrww__w. - --- _ - --— —•—-- i i.u.. irrr_...rrr.,rrr�w. <br /> s <br /> s'.'• +.���—.__�__iw rrillpq_ -—�--___-_—.r�___ww_�w.+...Nr ■111_II■■.. r �n_____.ri_q.....-_.r.r.r..rr_r.r_PII <br /> t.µ <br /> .Y <br /> L• <br /> Y Ej1 <br /> ryL <br /> f. <br /> ;r7. <br /> :.'{�. ,_::.w_.ni_n.._: :.i.n_..ni.r_... _.._r__a_.�++.+w.w�nm_n_.i_rrrw_��.•rr.. - --- w�.+r_�. .iw i • +.�_wr■n..i <br /> wl' <br />