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tik• <br /> .,«..A`'-ov-........,.ate.... ........`.. �... ..... . <br /> y <br /> Town of Mash 16•'* Orr <br /> APPLICATION <br /> PLAN �01 <br /> ptication Number <br /> REVI <br /> EW <br /> • �`. Ff '� checked by Date <br /> F : <br /> ti. �. <br /> till <br /> pplicant Mr.HAFF-T) <br /> Day Phone v7z-- -� . <br /> pplicant•s Address <br /> Ing&Tax Service , <br /> i <br /> presentative(if any) Ke, ii �. Ao Da Phone — d q� <br /> Y <br /> Jul Sv r� �� 1`_r��� P4 , <br /> epresentative s Address ,� �s� -�.� ��e q� <br /> caner if other than a tic nt <br /> roperty 0 pp 'a ) �u Day Phone <br /> to <br /> caner s Address or �� S► �� 2-3 � • <br /> if allcorrespondence� �� �' � -- ' <br /> lease indicate a s to be sent to the applicant the representative the property owner. ;� } <br /> i <br /> 1 <br /> hat do you want to do? <br /> hat is your final goal? Z:/ e— j <br /> Y { r` ! <br /> ,-,,.,,'Project Address JU Eke,mI Pv-we <br /> u ame of tract development or business .- r <br /> p <br /> Le al Descri tion: Lat ��g p Block Tract F _�L . ale,471r <br /> ssessor's Parcel Number Present Zone/G.P. Designation <br /> PPLICANTIREPRESENTATIVE: f have reviewed this com- PROPERTY OWNER/AUTHORIZED AGENT: I have read this <br /> feted application and the attached materiaf.The informationis <br /> Pp pro completed a plicatian and consent to its filing. <br /> ided is accurate.t understand the city might not approve what I'm . <br /> pplying for, or might set conditions of approval. <br /> 1Ar <br /> 17 <br /> 2 z <br /> ed Date Signed Date <br /> i <br /> •jls: <br /> j T I i <br /> }§K Received by Date Receipt Na <br /> Permit approved by Date <br /> Comments ` <br /> k <br /> . I ' <br /> i l <br /> r <br /> i <br /> j <br />