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APPLICATION FOR SITE PL&~PERMIT
Multifamily residential project
-Applicant:
____Other-specify ~fJ1.e1C(:rl !/il/!y'-e
P &Z Case Numberb~I$? Date ~eceived /1~U-3
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Address: ~(p 04 ~ zq~ ~t
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~I'11M, 40s Telephone:
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Addres-s:,
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OWfier.: .
Location of Proj ect: Lot{s)
Block(s)
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Present use6f property:
. Applicant certifies the above information to be true and correct.
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- IF .APPLICATION IS FILED. BY .~.AGENT, A POilliR .OF ATTORNEY STATEMENT MUST BE .INCLUDED.