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'APPLICATION FOR SITE PLAN PERMIT
Multifamily .residentialproject
. Other - specrl: :ro:~~~. ,plfJ:#f
P &: ZCase Number J1J].....D1ate received '. .' . .
Applicant: .. -er/t1 {9~lzt;f/~~~ (.K!bih~:wffU!t~-rf~~lt/e~ ~~r
Address: /9/)4 wek?h ~q/a,f~e~~tzin,,/~ Telephone: b1~.4-2/h.
OWti.er.: ?~ Address:. ~e
Location 'of Project:. Lot(s)
Block:(s)
of
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Present use of property:
Applicant certifies the above informatio:ntobe true and correct.
IF ,APPLICATION IS FILED BY ....!ili AGENT, APOlfEROFATTORNEY STATEMENT MUST. BE INCLUDED.
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