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� ! <br />,.:: _ , , <br />; . � <br />.---. ._..">I ; .. ... , " " - <br />..::;: <: : . <br />,.._ _. ; <br />- ' ; ; ; ;: <br />_,:;_ <br />_ _ , '; .. <br />Ci�y oi �Iounds View,1�N <br />I)evela ment A iication Pa e 2 <br />Prese-nt Use of Property <br />o UndevelopedNacant �, Sing3e �'amily Dweliing <br />� Duplex/Two Family Dweiling o Mu[ti-famiIy Dwellirig <br />o B�asiness/Comrnercial Establishment o Indus�°ial EstablishmenC <br />O 4ther (explain) <br />Properiy Classifica[ion � Abstract a Ta� <br />BY MY (OUR) STGNATURE �N THTS APPLICATION, T I°�REBY DECLARE THAT, TO TH� BESi OF MY <br />KNOWI.EI�GE, THE INF'URMATION PRUVIDED IS TRiTE AND ACCURATB. <br />Si�ature of Applicaz�t <br />Name of Applicant (typed/printed) <br />Signahue ofFroperty Owner <br />Name ofProperty Ownar (typed/printed) <br />Address of Owner <br />�� '� � k.�f`� <br />- : U i.'P /%7'= � <br />,1 � % <br />)�i�r�`��.�'i_ �, <br />� � � �� �,� � ,.. <br />7 -� i"�C � U r�iLJ �°.1�� <br />'; <br /><:; : :, <br />� o�.��- �, �-z„�,— �, f- � �3---- .���� <br />Phone Number of Owner �� j�� �{�('j " 3�( �J <br />T�� <br />}� <br />%� l � 33 ... y�°.S / <br />,7i�'�r ,�2 �tz � (�-t�--J <br />� ,. <br />,G' ���;� � Zo � s' a' . <br />��**�***�*�����:����*����*#*������**���*�������*����*�#�����*��������'� # �* ��`*� **������ <br />�o� or���E Us� o�,Y <br />Date of Submzttul ' �� � � <br />Date of Acceptance Assigned to: <br />Piaauung Case No. ,�° e 60-day Limit � 120-day limit <br />Fe�s Paid: Account # Check # R ceipt # <br />Application: > 00 j'd v .:� `� iB,� _ � / , , � � ' " t ��� <br />Park Dedication: <br />Deposits: <br />Other: <br />Total: <br />N:IBATA\GROUYSICOMDEVIFORIv1 SIDE Vr1PP. FOR <br />,. : <br />. <br />.. r .` ` ... <br />1l98 <br />' <br />