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• <br /> Planning Application Page 2 <br /> Present Use of Property <br /> 4 Undeveloped/Vacant 0 Single Family Dwelling • <br /> ❑ Duplex/Two Family Dwelling ❑ Multi-family Dwelling <br /> ❑ Business/Commercial Establishment 0 Industrial Establishment <br /> ❑ Other(explain) • <br /> Property Classification 0 Abstract ❑ Torrens <br /> Description of Proposal - <br /> BY MY(OUR) SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> KNOWLEDGE,THE INFORMATION PROVIDED IS TRUE AND ACCURATE. <br /> Signature of Applicant <br /> Name of Applicant(hyped/prince) ue..• Kt'vi,f Wig-444f <br /> Signature of Property Owner �' �.-► 1�,Q�vU^ <br /> Name of Property Owner(typed/printed) 43 e-e- --► �r�s <br /> • <br /> Address of Owner 2-4/6 / ,z// <br /> 5S/1 Z <br /> Phone Number of Owner 'Ila 7/7 2.7 <br /> .****************************** « 4******* ***** *** ******** ** **** <br /> FOR OFFICE USE ONLY' • <br /> Date of Submittal - 0 t • <br /> Date of Acceptance Assigned to: <br /> Planning Case No. C.,L•. 1-o 0 a. 60-day Limit 120-day limit <br /> VrQO -co % <br /> t) of-O03 <br /> Fees Paid: Account# Check# Receipt <br /> 3 0 0• oO J 06331 7606 $3S C) <br /> Park Dedication: <br /> Deposits: <br /> ✓c c+. - 3aroo 0034x7r2 <br /> Other: Qj, t aS•o 0 000 <br /> Total: 0435'-a U <br /> 1/98 41111 <br />