Laserfiche WebLink
.?�+-. <br /> � <br /> Town of Ma <br /> *too- � 1 <br /> W. +► . . <br /> sop APPLICATION <br /> owl <br /> PLAN <br /> Application Numwr <br /> *EVIEW <br /> CheCked by Nits <br /> �• F ' <br /> ,Avv 1can FkLJ rr• Day Rhone 7 - T,f1 f� <br /> LJ V <br /> Ao ii nt' A r '�- Mer dd essf <br /> `'Representative(if any <br /> Day Phone N - <br /> '• ..r�wr-i�nm�rrrr.�s�rrr�.rrr_�w�r <br /> Reoresentative`s Address <br /> Property Owner f f other Man a licant Ar_4:__k1jr be:P_2c__=q_j_p Y apDay Phone <br /> Owner's Address b4-EL-NeutoLon InLM 0 !o <br /> Please indicate if all correspondence is to oe sent to x the applicant the representative the property owner. <br /> What do you want to do? <br /> What is your final goal? <br /> , <br /> Protect Address 0 F_Gk ' TRct, 02 O�ZL!) <br /> Name of tract,development or business ERCjaCL r- <br /> Legal Description, Lot Block <br /> assessor's Patter Nurnoer <br /> Present&.one/G.P. Designation <br /> APPLlOANTlREPRESENTATIVE: i have reviewed this Com. PROPERTY OWNERIAUTHORIZED AGENT: i have r eac <br /> aleted application and the attached material.The information pro- Completed apple tion and consent to its tiling. <br /> -.ocea is accurate. 1 uncerstana the City mignt not approve what t•-n <br /> a0ciVing tor, or mignt set condition pprovai. 21 <br /> •. <br /> _ - <br /> Dale s,�� <br /> - 'u Sk'_•�ha_s.�.a.-.tom <br /> .. � .. - ._ •- .. -may...+•. .::a:'S.""'-.:u_-t- <br /> Received by Date <br /> Receipt NcL 4� <br /> Permit atwo►+ed try Date <br /> Comments <br /> '-1 r <br /> v <br /> I .t <br /> ., <br /> k-'4 i <br /> a <br /> I <br /> , <br /> - i <br /> .r <br /> • -.i.r r• •#�..y...ram r .. <br /> • .i. i. r1��i L:'. _zip'.—,.• <br />