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City of iVtoeands t/iew, Idi]Y <br />llevelopment rlpplic�fian Pa�e 2 <br />Present Use of Property <br />� Undeveloped/Vacant � Single FamiIy Dwelling <br />Q Duple:c/Two Family Dweliing � Muiti-family Dwelling <br />o Business/Commercial Establishment ❑ Industrial Establishrnent <br />� Othcr (explain) <br />Property Ctassification <br />I?escription of Proposal <br />a Abstract � '�a�� <br />��� F , � � .. � , �� <br />� i - . _ ,: ;,- �� � �. =�.. <br />BY MY (OUR) SIGNAT[JRE ON THIS APPLICATION, I HE12�BY DECLARE i°HAT, TO THE BEST OF M1' � <br />KNOWLEDGE, THE INFURMATIUN PRUVIDED IS TRUE AND ACCURATE. <br />Signature of Applicant � � Gr e <br />Name of Applicant {typed/printed) (� � � �j ��-�--r G� � <br />Signuture ofProperty Owner � .�. �� � ,� <br />Ntune of Property Owner (typed/prinEed) ��$�p �-� e� � � � �- ���� � - <br />Address of Owner ���5 ,� LOY I R G i f G�� <br />�o�c.� s (%i e �/l% S'S 1 / <br />Phone Number of Owner 6�.�. %)� �� l(��" <br />m*����*�***��z���x��x��*�**�*�������x�****������*�a�*��x���x���*a���������x�*���*������������*�������*��m <br />�'Oit OF�ICE [TS� ONLY <br />Date of Submittal �-�u P�_ q. <br />Date of Acceptance Assigi°ied co: <br />Plan�ung Case No. -- 60-day Limit _ I20-day 1'uni[ <br />Fees Paid: Account # Cheak # <br />Applicaiion: 1 lit� ° d 0w .11� ��(�' � <br />Park Dedic�tion: � <br />Deposits: _ <br />Other: <br />Total: <br />N:IDATA1GItRiJi'SICOMDEVIFOF2IvfS1DEV�PP, F'pR <br />!' , _ <br />Receipt # <br />l�g� <br />1/98 <br />