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a <br />OPUCANT! Name <br />Addt <br />CITY OF ROUNDS VIER <br />PLANNINC APPLICATION <br />Datea_a <br />c <br />t.ntetkat In Pvnpetty (check apptoprldte box): <br />IOLI Owner ni Herntd �I--y{ Leanne, opetatnt, Mandpet <br />ColittacLar tilt Used Ounet LJ Aprrement to Pin-rhAve <br />ULl,et (Nxpialn) <br />Ilnt,tme,itnty evldenre or rpptlu:atld i„tereat In thr ptopetty may he tegiltted <br />berate H ndl City actlna nh thld tegoeat, <br />WOUTY! Addttdh/cenetat ircati•it_ b o���I _vJ��(iT�%U��l✓nC <br />I,el;dt ovootl Name/Addyeda /�; �F.9rE ���! <br />Pteaent Ilan (check Apptnpl-kin Unx)! <br />".:devntnped/Vacant Apatiment <br />Sthele Family baett.inp, Ooalnead (;sa1,11ahmpnt <br />huplox buallinp I.._. Indndltiat Natdhtiahment <br />MU1tlhIN huntlinp (l-6 unitd) <br />0thpr• (exptaln) ,.,;. '.� <br />Ftopc•tty Ctanaltitdtidil! Akitract d TottenK _ <br />MQ11P:S•rl (pkpl.nln) <br />t hetehy declare that t4 ahnve atatrmenta ate tthe. <br />• eipl tote) <br />------------••-------------------------------------------------- •---------------------. _s <br />NOr OFFICE USP ONLY! <br />BASE FEES} <br />SUhdIvlatoil, Iln•Int <br />($150) <br />511hdivloim,i lI not <br />_— <br />($I5) <br />Reznotl,p <br />_ <br />($9U) <br />Cm,di.tlm,at Uae <br />_ <br />($50) <br />vatlance <br />($5(j) <br />Code Appeal <br />($50) <br />AtLetntIna P,•;m11- <br />($50) <br />Oanp Peen In parentl,eala <br />ate nmt-refuodnhle.. <br />Pntk Puod bedlcatlnii <br />bate Pald <br />_ •__ <br />Rerelpt Nnmhnt <br />ADDITIONAL FEES <br />Reapportionment <br />Poodle IIe: ',:,p NoLtcP. <br />star, CnndnlLal,t pnvleun <br />HHaca.11anen,ld _ <br />Sohtntal. <br />TOTAL PEES <br />Mile Pald <br />Rernipt Nnmhnt <br />