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_ <br />,.-.-,.- ' 09/98/O1 ._. .15:3' -- <br />4 FA% 812 784 3462 CITX OF MV ' <br />Planning Applica#ion <br />Present Use of Property <br />OUndeveloped/V�cant ❑ <br />Duplex/Two Fami�y Dwelling p <br />❑ 8usiness/Commerclal Establishment O <br />CI Other (explainj • <br />Page 2 <br />Singte Family owelling <br />Multl-famiiy Dwelfing <br />Industrial Fstabllshment <br />Property GassifiotJon ❑ Abstract O Torrens <br />Descipt3on of Propasal - � <br />BY MY (OUR) SIGNATURE ON TtiIS APPLICATION, I <br />�avow�o�E, THF INFORMATION PROVIDFD-�S TR� <br />Signature of Applicant <br />Name of Ap�l[cant (typed/printPd) <br />Signatur�e of Properly Owner <br />Name oF Property Owner {type4/p�int,ed) <br />Address af Qwner <br />Phone Number of Owner <br />THAT, TO THE BEST OF MY <br />��(;.t �a-{r <br />� 00�/005 <br />*�:****��......�****��«*����******�*��*��****�***�***���*:��*******� <br />oR OFFICE USE ONLY <br />Date oP Submittal , '1 - � � <br />Date af AmeptanCe Assigned to: <br />planning �se No. 60-day Limit 120-day Ilmit • <br />Fees Paid: <br /># <br />AppliC3tion: � 1 � �• � � <br />Park Dedica#ion: <br />Deposits: _ <br />Other: <br />Totai: _ i �,;�r1'o�� <br />Aac+ount # <br />Check # <br />Recelpt <br />ir�s <br />