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s--AvOH 11flVAUUD9 U <br /> Development Application Page 2 <br /> S <br /> Property Classification Abstract 0 Torrens <br /> Description of Proposal <br /> W& P E �E-Qt ?<iz "f-t-��T t-Ec E � c �=� L r,-s . <br /> Ew oar S 4 L' 2 - VAC,&r O. <br /> BY MY(OUR)SIGNATURE ON rrIIS APPLI�,` ON,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> KNOWLEDGE,THE INFORMATION PROVID:» . • 'E AND ACCURATE. • <br /> Signature of Applicant <br /> Name of Applicant(typed/printed) GortiV ‘ikort...%e. ray C <br /> Signature of Property Owner 1 <br /> Name of Property Owner(typed/printed) G o L)4-t-.V e (kR-c; <br /> • <br /> FOR OF_ICE USE ONLY <br /> Date of Submittal 9—• — <br /> Date of Acceptance Assigned to: <br /> Planning Case No. 5 o 62 "I 60-day Limit 120-day limit <br /> Fees Paid: Account# Check <br /> Application: 5ce 11 .5 <br /> Park Dedication: <br /> Deposits: <br /> Other: . <br /> Total: <br /> • <br /> C:.OFFlCb1WPWLINWpDOCZADIvi NWORMSIDEVAPP.FOR 1197 <br />