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;- -) <br />II <br />Planning Applicat9on <br />Present Use of Property <br />O UndevelopedJVacant ❑ Single Famiiy DweEling <br />p Dupiex/Two Family Dweliing ❑ Mulki-famify Dwel{ing <br />❑ Business/Commercial Establishment O Industrial Establishment <br />p Other (explain) . <br />Property Classification O Abstract ❑ Torrens <br />Deseription of Proposal - <br />Page 2 <br />BY MY (OUR) SIGNATURE ON Tl-!IS APPLFCATION, I HEREBY DECLARE THAT, T4 THE BEST 0� MY <br />KNOWLEDGE, THE INFORMATION PROVIDED IS TRUE CCURATE. � <br />c <br />Signature of Applicant <br />_ � <br />Name of Applicant (typed/printed} y � <br />�� ' <br />� <br />Signature of Properly Owner . <br />Name of Praperly Owner (typed/printed} <br />Address of Owner <br />Phone Number of Owner <br />E-mail <br />; <br />*********�x**x�**************************�******�*******************�*�***�***************** <br />� � FOR OFFICE USE ONl.Y <br />Date of Submittal � �� � � `' J ' <br />Date of Acoeptance Assigned to: <br />Planning Case No. � �� 60-day Limit 120-day limit <br />Fees Paid: <br />#. <br />Appiication: 1Op� 60 <br />Park Dedication: � <br />Deposits: <br />Accaunt # <br />1,Dc7� . ��G' �� _ <br />Check # <br />�o'O q <br />Other: ) AO- o _ 1 d�- !(�� U �° �� <br />Tatal: <br />Receipt <br />�� <br />� <br />1/98 <br />