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' - <br />City of I�ioarsds View, li�IN <br />Uevelo m�nt r� IIC��iO[i Pa e 2 <br />i'resent Use of Property <br />❑ UndevelopedNacant <br />a Duple:c/°i'wo Famify Dwelling <br />❑ Business/Commercial Establishment <br />� �ther (expiain) <br />Property Classification ❑ Abstract <br />T <br />. <br />, <br />7 <br />Singfe Faznily Dwelling <br />Mutti-famiiy I�welling <br />Indastrial Establishment <br />Torrens <br />Desc�iption of Propasul Jt��i.� y �(�, � A' '�C) � <br />B1' MY (OUR) SIGNATUI2E ON THIS APPLICATION, i HEREBY DECLARE THAT, TO THE BEST OF MY <br />KNOWLEDGE, THE INFURMATIUN PRUVIDED IS TRUE AND ACCURATE. <br />Signature of Applicant _ �(' � � �._-�� <br />Name of Applic�t (typed/printed) �j�.�Jz.� !`i t�� e(� <br />Signature of Property Owner <br />Name of Property Owner (tyged/printed) <br />Address of Owner <br />Phone Number of Owner <br />��_�f` `�---�� . <br />C;a��.o m � !�e � �� <br />Z.C3 1 i%L57Z r2;�"� 17r2 . <br />C"c�tz� � �-� -(��� <br />m��w�u**�x�x**�*�����**�x�**�x�+x�u�����:�x��**��*��x�#�**#����x**�x���m�m�**�*�m**��x�*�***�**:���m**�**�x+��*� <br />FOIt O�TCL'+ US� OI�,X <br />Date of Submittal �- S - � �` <br />Date of Acceptance _ Assigned to: <br />Pianning Case No. �- �- �— aj � 60-day Lunit 120-duy limit <br />�-- <br />Fees Paid: Account # � Check # Receip t# <br />Application: �i,,5' �v _ : n n 3 .�-_ � � ��L'<�G�� % 5 7 -� <br />Park Dedication; <br />Deposits: � _ � <br />Other; <br />Totai: <br />N:IDATAIGROUPSSCQMDE VIFORVf StiDE V;�PP. FOR <br />t/98 <br />� s�= :, <br />