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- ���.� i.`ti'•........_ i --.T.S.:.-. ...�. .. <br /> LR i'!�-,i7�7-, <br /> i4 <br /> 'Townof Ma' shpee <br /> PLAN <br /> APPLICATION <br /> a.ti ` 1 err <br /> A. <br /> Application Numter <br /> REVIEW <br /> 714+! 1 s� • - <br /> �.. CheCkM by Quo <br /> - •;��,E L <br /> Sr <br /> licani w <br /> I Cay Phone 77/ <br /> � �, <br /> icant's► ddress [ # <br /> eser tatjve(if any) <br /> Day Phone <br /> es�itative's Address <br /> erty Owner(it other than ar)plicant f Day Phone <br /> er s Address <br /> se indicate if all correspondence is to oe sent to the applicant :he rapresentartVe the�rooeriy owner. - <br /> t do you errant to do? . <br /> t is your final goal? r` ' <br /> C-0 <br /> i <br /> y�ect AddreS 7 � <br /> 1-J <br /> Axa <br /> e of tract,development or business <br /> daI Description: Lot Block fiat. <br /> . 1 <br /> ssor's Parcel Numoer '7 -2— 9#e0 Present Zone/G.P. Designation <br /> LZCANTIREPRESENTATfYE: l nave reviewed this cam- PROPERTY OWNERIAUTMORIZ <br /> ED AG ENT: l have �eao •� - . ,e❑ application and the attacnec material. The information oro. cornoleted appliGaiton and consent to its filing. <br /> a is accurate. i understand the city mignt not approve what l'rn <br /> ving for.or m, ht set conditions of aCproval. <br /> z <br /> Date -3. efl <br /> etVed by ► <br /> Date Receipt Na <br /> rrnit aGproved by ❑ate <br /> •mments <br /> 1 , <br /> OCR OWL St" <br /> AML <br /> _ I <br /> {� - <br /> _ <br /> r <br />