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APPLICATION FOR SITE PL~~. PE~MIT
Multifamily residential project
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P & Z Case Number
Date received
Applicant: ?~rl&i.. ~tlef~ . t Ohl?JYIc~~h~iella
Address: ~..I$Z,1 ~n;.(/}I: I C:w~~j ~:d~ Telephone: M~'I/'1/ -
Owtier: tiiJ~{,J"f1~~(i*/M) . Address:
Location of Project: Lot(s) AlIA Block(s) AlI~
of JOt ql/f&;r~ii~~ 6~~rd~rJ1e/t ~fAe. 1~'I.J~.'1/C:~,) ~
Present use of property: \Ja~~t ~ \the~"'.p -fttit;;
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information to be true and correct.
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Signature of applicant, o\~rler, or agent
AN AGENT) A PQ1.JER OF ATTOP~EYSTP~TEMENTMUSTBE. INCLU.DED.
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