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1 <br />f�ety of �ou�ds ��, <br />�ve�o��e�� Appi�catio� � , � �- — �� <br />Properry Classification <br />Description of Proposai <br />■ •. � <br />. _.� <br />1!_' i_ �11�1i.r_ f-- _I1L►_.�IL':��_ _.../__� 111.� �•/�, I� 1;' a � <br />V i•� j• ��r ��.=�.�'r . N' If'' 'l I 1►i ��II , <br />t � . , _.', s � , , . , • I:il` �I: s ` � ► � . / ` � i � � � � rt <br />� _ �li 1 i s ' • • . . � 1! al� • � . , � <br />' <br />Signatvre of AppliCant <br />Nar�� ofApplicant (typed/griated) <br />Siginature ofFroperty Owner <br />Name of Property Qwner ({yped/printed) <br />`--� f-Gt� �,�-� ro yn. ct� �u� a.. �Cu�ra�6; <br />�, �lz�� J�'� lco�� � „e�ejL b�� <br />�- �e� s��- �o��� <br />�� u�i� <br />�����#�����������������������*���������*�*������,��������*������#��*�*���*��������*�����*�$�� <br />FOR OF�'iCE USE OM,Y <br />Date of Subm.ittaE Gs - 3,� _�% <br />Date of Accepeance C� -'3 0�cq �`"°� ��� �. <br />Plannin� Case No• ' 60-�y Limit __ �"��1 120�ay li.mit 1 0-�- <br />F� Paid: Account � Check � � <br />Applicacion: <br />P�rk Deciicatio�: - - - - °" S � �� �-1 7 <br />Deposits: _ �'� .. <br />Other. � - ° <br />� Tatal: <br />C `,flFHiG�1WPWIIV�vVP�DC51ADIv�V1FORMSIDE'V.4PP.FaR <br />U97 <br />