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-�.. __ <br />-- --- - - `_°:l� <br />; <br />Pianning Application r`: _ _ _. __ -� Pa e 2 <br />9 <br />Present Use of Property <br />O Undeveloped/Vacant � Single Family Dwefling <br />❑ Duplex/Two Family Dweliing ❑ Multl-family Dwelling <br />❑ BusEness/Commercial Establlshment [7 Industrfal EstabEishment <br />❑ Other (expiain} ' <br />Property Classifcation ❑ Abstract ❑ Torrens <br />Description of Proposal - <br />BY MY {OUR} SIGNATURE QN THIS APPLiCA710iV, I HER�BY DECLARE THAT, TO THE BEST 0� MY <br />KNOWLEDGE, Zi-IE INFORMATION PRO ED IS TRUE AND ACCURATE. <br />Signature of Applicant • � �� �� <br />Name of Applicant (typed/printed) __ �• • �nS'.�� <br />Stgnature of Praperty Owner � <br />Name of Property Owner (typed/printed)_ <br />Address of Owner <br />Phone Number of Owner <br />E-mail <br />� CL�s� <br />ti... � , . <br />�szs L� �. �.. <br />j/�l4r�r•r„� �u-v �ln � r r� <br />���- 7 �� - 3 ��f� <br />���' • . <br />, <br />****�*****************x�**********************************:�******************************** <br />F,pR OF�YCE USE ONl.Y • <br />Date of Submlttal �� I�7 - c� %� <br />Date of Aoceptance Assigned to: <br />Planning Case No. q 1- � 50-day Umit i20-day lirntt <br />Fees Paid: <br /># �• o0 <br />Application: �-5�rra <br />Paric Dedication: <br />Deposits: �p <br />Other: <br />Total: <br />Account # <br />Check # <br />. <br />. <br />.�— <br />„s �� <br />Receipt <br />��1 � <br />� <br />2/96 . <br />- "' � <br />