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/3-fci<.i PARKING Case N.o. ~).~4f4 Applicant.......... .........~~./~.~....... AddressofAPPlicant!JI7. ..~ ~1fJv, . ...... .... ....~./~77f~ ~ q!1JtJ J J\;0 r . : Phone (3 Cfbi- / Kd-fj mrner ~ Address ~~' &~'3~/09'fJ!. No. of parking spaces provided ot/o 5;/ Vari~ncesRequested: CERTIFIES THEABO~I~O~ TIt~~ANDCORRECT. '-M- ~~~~k~) Oii Signature of applicant ~ owner or agent