Laserfiche WebLink
.:-.. i..i.. <br /> ........._ .. ... ...gin...... .. ... <br /> �11 i <br /> 1 <br /> F <br /> Town of Mas . . <br /> APPLICATION <br /> PLAN <br /> 49lication Humber <br /> REVIEt12,y ~ S <br /> checked by <br /> j-F <br /> ApO�tca�t L2 4� 4 4 4 <br /> Day Pf'�one <br /> opttcant•s Address A ?r 9 <br /> Representative tit any) Day Phone <br /> Representative's Address <br /> Procerty Owner(if other than applicant) Day Phone <br /> Owner's Address <br /> Please indicate it all corresDondence is to De sent to the applicant ;he reoresentative the oropeny owner. Z <br /> 1 <br /> What do you want to oo? <br /> Whet is your final goal? 6!;�el�e:�f i'�:b tf�9 <br /> ..Y• I <br /> mom <br /> 1 <br /> Project Address � � A'� <br /> ! ;:0 1? 1 <br /> F Name of tract.development or business <br /> 44 <br /> Le a:Descri tion: Lot - • <br /> "I' M <br /> p Block �rac, <br /> ,assessor's Pare!Numfler Present one G.P. Designation <br /> JA <br /> PPLICANTIREPRESENTATIVE: l nave reviewea this corn. PROPERTY OWHERIAUTHORIZED AGENT: t have rear -•- = ; <br /> pletea application ana me attached material.The information pro• completed application ono consent to its mini. <br /> �Meg is accurate.1 understand the city mignt not approve what l'-n <br /> ao ly1ng for.or mignt t conait,ons of aooroval �/O_ <br /> 51he <br /> 1'' • �.;i e7- _• -..R <br /> pat sign" <br /> ' •a ' ':.•T• .. '�yt'•L �}.ti.wires"^ 1 <br /> .. _ - ,.5:�.• 'pry,.,••r.-i��•r�.1�:7_-i <br /> - - - -1.. ',• Wit= •'. •.ti .t•- "4... ��7��i'.'-;�■ .���711t� <br /> Recei _ , • •-.. .. • ' _ .. fit,• 1: •'µ.'�'� -fir .�~`^'.f{T..��-����` 1 <br /> ved by Date Receipt No■ _.t- .-V <br /> Permit approved by Date <br /> Comments - - - --._ y r~�.'v'Jam':_ ....__ �' �•���� <br /> y`w <br /> r <br /> I <br /> r 1 . <br /> s <br /> i <br /> - I <br /> eat .1 <br /> 4k a NAV <br /> _xL <br /> .T.,..;::•.•;:.'. -•'._•r...r:.1•y.-':^:.Sit aw•Y, aI1�• ��s <br /> ► .. . .yam -•�:s1iyyy�� 4n�i.� l t •� <br />