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may,"1'•• - - .u} <br /> r , <br /> r <br /> 4�`t 1 t n���j� <br /> own o� ash .i <br /> APPLICATION <br /> V? <br /> A•PLAN V <br /> .,. <br /> • _- Application Number <br /> REVIEW <br /> ". checked by Date <br /> Applicant + <br /> _t Day Phone 7r2S" /0 0 <br /> w <br /> -,-Aopiicant's Address. S 0 69 &0 <br /> :.;Representative(if any) yzuir) r Day'hone V2 7-57 6 3 <br /> Representative's address a mid--lie` <br /> .Property Owner(if other than applicant) t Day Phone -- <br /> -z owner's Address , r of Lo <br /> Please indicate if all correspondence is to be sent to the applicant the represensative Zowt&property owner. - <br /> 1fVh4-31 do you want to do? / <br /> What is your final goal? G wt le Zi�a om <br /> r <br /> Project Address <br /> Name of tract. development or business <br /> Legal Description: Lot Block Tract Oh <br /> Assessor's Parcel Number Present.27.one G.P. Designation � <br /> APPLICANTIREPRESENTATIVE; l nave reviewed this corn- PROPERTY �WNER1AtTiiQRI�ED AGENT: have :ear <br /> #area application and the attached rnater:af. The information aro- cornpieted application and consent to Its filing. <br /> v3Cea I ccurate. I understand ih Ci#y mignt not approve what I'-n - <br /> A g for.or rgn et c di ns of approval. <br /> 2j t <br /> Date _ <br /> (;nec3 Date <br /> IAQ <br /> SM <br /> Received by <br /> Date Receipt Na <br /> ` :permit approved b _ <br /> 3 y Date ; <br /> 'Comments = ' <br /> A <br /> r4 <br /> i•�r <br /> 3 y.7 <br /> t� <br /> rri7 <br /> • <br /> 1 <br /> f <br /> .tii <br />