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APPLICATION FOR~J[I I -~ ,~ PERMIT
~ltifamilY residential project
Other - specify
p&Z Case Number ------- Date received
App 1 i cant ---1::1A8C.AL.. I I ~ c....
Add ress ~ O. f',lj" 4 \oC? E.r~..YM,' -r~ 77COo\
Phone
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Own e r ~ A l-J F0C2-0
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Address ~O, t.;'"'X 41 O~~
~e.YMj: 1"Y.. 71fX)(
Location of project
"2.'01
Acczes
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~~esenr use df' property
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200 feet of all proper Y
be obtained from College Station Tax Office)
Name:
Address:
.:.:>.
Attach additional
Appl ication
Tax Assessor or clerk
The appl icant certifies that the above information to be true and correct.
f~'<:" ~ <t! ,,^... ~ J .J
Signature of applicant, owner, or agent
If appl ication is filed by an agent, a power of attorney statement must be included.