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Planning Application <br />Present Use of Properly <br />❑ Undeveloped/Vacant � <br />D Duplex/Two Famfly Dwelling ❑ <br />❑ Business/Commercial Establishment ❑ <br />❑ Other (explain) � <br />Single Family Dwelling <br />Multi-family Dwelling <br />Industrial Establishment <br />Property Classification ❑ Abstract j� / Torrens <br />Page 2 <br />BY MY (0�1R) SIGNATURE ON iNIS AFPLTCATION, I <br />KNOWLEDGE, THE INFORMATI4N PROVIDED I5 TR1 <br />Signature of Appiicant <br />Name af Appllcant (typed/printed} <br />Signature of Property Owner <br />Name of Property Owner (ty� <br />Adclress of Owner <br />Phone Number of Owner <br />Y' <br />� / <br />c� `G' <br />TNAT, TO THE BEST OF MY <br />�J J C) � lL' ��li vd� ��Cr <br />.�� �� � �S-� <br />******x�****************************************************************************�****** <br />FOFt OFFICE USE QNLY <br />Date of Submittal !-��~ o � <br />Date of Acceptance L� ��- �� � Assigned to: <br />Planning Case No. C.1a �� � o o� 60-day Limit 120-day limit <br />Fees Paidc Account # Che�k # <br /># <br />Application: ) d� �°� D d 3�'i q (4 (p <br />Park Dedication: <br />Depasits: <br />Other: <br />Total: <br />Receipt <br />-- ��q � <br />1/98 <br />, ) <br />