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•YY«b <br /> � 1 <br /> { <br /> Town ���.....:� f <br /> �f J <br /> 40 <br /> APPLICATION <br /> S 1 <br /> PLAN <br /> '� Applic2tlon Humoer <br /> REVIEW .w <br /> CneCked <br /> ■ ��- ' Date <br /> Jil'Ifs `L <br /> 1 , <br /> ll <br /> Apol'cant 0� -- 1 <br /> :_. Day Prone 7 7 , <br /> Applicant's Address 0 L2 �S <br /> Representative(if any) �✓ ?none <br /> Aecresevative's Address <br /> Procer+y Owner(If other than applicant) � � 77_09l� <br /> .. 1 , Day Phone �` <br /> Owner's Address ' <br /> Please inalcate if all corresooncence,s to De sent to the applicant :he representative the ro e� r p v yv owner. <br /> Vllrot do you want to too? <br /> What is your final goals , <br /> K <br /> 1 <br /> I <br /> ta'vi <br /> S4S4 } <br /> Aroiect Address �2�trrR,jLf.I, <br /> Name of tract,development or ous:ness <br /> �egai Oescription: Lot Stock <br /> raC: <br /> assessors Parcel Number ?resent '!,-net G.P. Designation <br /> APPLtCANT1REPRE5ENTATIYE: i nave reviewefl ;h�3 yom- PROPERTY' �3 ERTY QWNER1AUTHORfZED AGENT: I have -ea,-, <br /> Mete. aamication ana me attacnea rn r: <br /> <- ate al. The information Irv- cornoletea avoitcation and consent to ,t3 filing. r. <br /> ' ncec is accurate. 1 uncerstana the city mignt nct approve what 1'.m <br /> acciv+n .or, or mignt set concitions of accroval. <br /> 02le <br /> '`g"ea Oats <br /> ;i <br /> Received by Date Receiot NC <br /> Permit aoproved by Date <br /> Comments <br /> 1 <br /> VAI <br /> 1 <br /> dr �► <br /> Ok <br /> 1 <br /> 1 <br /> rl <br /> d <br />