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Planning A�plication <br />Present Use of Properly <br />❑ Undeveloped/Vacant �� r L O Single Family Dwelling <br />;6� Duplex/Twa Family Dwelling�' �7 Multi-family Dwelling �oT 2d <br />❑ Business/Commercial Establishment ❑ Industrial Establishment <br />O Other (explain) � <br />Property Ciassification J�( <br />Descripfiian of <br />Abstrac� �� y�' <br />��/�.G' <br />e <br />�' Torren '`/� <br />� ��� <br />Page 2 <br />_�f�ir� /`cs.,l� pAc>�r/c//t/ fa ��?�.vl�,-�/ S'7l�lls _�hC_ Pr.�fi:V� ci/Y� .`�.��'` <br />� /.Z Q�% 5t �'r �!'/�j� 6' �i �� .Gr'1S /'/ �✓��✓ !f `,�'�2'`�L��,� e%P f�':/rYY��'/ <br />SY MY (OUR) SIGNAIURE ON THIS APPLICATION, I HEREBY DECLARE THAT, TO THE BEST" OF MY <br />lCIVOWLEDGE, THE INFORMATION PROVIDED IS TR AND ACCLiRATE. <br />Signature af Applicant � <br />Name of Applicant (typed/printed) /�/fr� 4�/ � i'�/��.f <br />Signature of Property Owner <br />Name of Property Owner (typed/pri <br />Address of Cwne: <br />Phone Number of Owner <br />E-mail <br />�s� ��,�'�,����. <br />i!�% C� !� �c''G✓ i�� ��/L <br />aG��! � r � <br />��s --���`����' - <br />0 <br />*�x************************�***************x�**:�*********x�***********�x***�x*****x�:�*********** <br />� POR �FFICE'U5� ONLY <br />Date of Submittal r3��s f o l <br />Date of Aaeptance � Assigned to: <br />Planning Case No. - 60-day Limit 120-day limit <br />.tf�.�l-6 �� <br />Fees Paid; Account # Check # Receipt <br /># � �� <br />Application: � .3 �`�!� . ' "' __ `��.��,n 1 c� a -�3+��p ( � ! � � 5 <br />Park Dedication: � i�� 3 a..� <br />Deposits: <br />Other: <br />TotaE: <br />1/98 <br />�. <br />i� <br />