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Caiy of �ioands �e�, � <br />Develo a�ex�t [� lie�tio� � ��g� 2 <br />,. <br />Property Classification ❑ Abs�act 'f8 Torreros <br />�� <br />Description o�Proposaf _ <br />BY MY (OUR) SIGNATUITE ON THIS APPLiCATiON, I HEREBy I1ECLqRE THAT, 'FO THE BEST OF MY <br />KNO WI.�DGE> 'I�E Il�1F�kMATION PRO VIDID IS TRUE AND ACCURATB. <br />Sigaature of Appizcaut a <br />Naane of AppGcant (typed/printeci) � , . ' �' � <br />Si�ature of Properry QwQer � a n-u_ <br />Name of Proverty Owner (tyged/printed) <br />�������,������s��#��xi*���#���*�m�������*�a���**���:ffi���*�*�*��#:��a�**����a�*�*�������s���**����� <br />FOR OFFICE USE ONLY <br />Date of Suamittal O�- 1�' -� 7' <br />Dace oiflcceptaacr ��-; C� -� 7 Assigned to: � <br />Planniag Case Nv. _?�'� Ca - q i 60-day Limit a-��t-S� I20�ay limit i[- +3 -G � <br />F F� P�id: � ,�_ Accoune � C�eck � ?���,Q � <br />ap iicatio�.: �1 � <br />P �C De�ica�on: <br />Deoosits: — . <br />Other. <br />Total <br />C:,OFFiC�1WP`1VL°11VJPDO�SIADMII�IFOELl�1SIDEV'rtPP.r�OR I!9'1 <br />