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Oct 22 98 ®4o 33p <br />• <br />►1 Io .-Y <br />a' .rieni.ik flea <br />Pasant Usk ofPropez, <br />' 0 Undeveloped/vacant „- <br />Duplex/ Two Family Dwelling. <br />BusinessiCominernial . Establishment <br />Other (explain) <br />Weride11 R. Smith <br />S12 °484 -0593 <br />Single Family Dwelling <br />to <br />Multi-family Dwelling. <br />4 <br />industrial Estalaiishmeat <br />a Form <br />B Y MY (OUR) SIGNAL <br />TJRE.ON THIS APPLICATION, r HEREBY DECLARE THE BEST OF M� KNOWLED INFORMQTION PRO VIDED IS LT AND U RdTr <br />Sigoature.of Applicant <br />L..; 17 <br />Name of- Applicant (typed/printed) <br />,Signaturt of Property Owner <br />Nat$e_ofPrope1yOy c. (typed/printed) <br />of Owner <br />Phone Number of Owner <br />‘-a riY42,4?Cri <br />** * * * * * * * *** *****k Yt *ik ## ek****** * *** * *** * *+ art ** ** 4,4.41***R**** * *** ** * **k * #*oM+k**** * * **** * *+ *** <br />o _ FOR OFFICE USE ONLY <br />Assigned to: <br />6O-d$y Lunit ��_ 120 -day limit <br />Date of Submittal <br />Date of Acceptance <br />• Planning Case No. <br />Application: <br />Paric.Drdication: <br />Deposits: <br />Other, <br />Total: <br />Fern Paid: <br />Nal- ATA1GROUPitcoMDENAFOR.MS]D. VAPP,FOR <br />Account # Check # <br />F.3 <br />Pa c <br />• <br />