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~ Multifa1"2ily residential project
Other -specify
P&..z Case Number
Date received -1 <...S'~'"'"-
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Applicant :.
Address:
Telephone:
Otmer: ~i.(1J,-<f.~ ... Address: 4.ltJS ...T~. .Jilt <;'..
Location ofPr.oject:. Lot (S)li~~l>f'* Block(s) T
of /)h1lM~"v..., jJ~ ...~ z..
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APPLICA.TIO~'J FOR SITE PLA}~ PEPJ,IIT
~. Mu It if aI!lily . resid e11t ial
Other -s,pecify
p & Z Case Nutlber~......2IDate received
~.~~qI191~
Applicant: rc..~~,G-AL.1JJt:>Ol~~..
'.' . ....... . . ..~~--rE'XA$A~NUt= . ... ... ..... .. ..
Address: ~lo~ ~~YAN ~~UtT~ ~ Telephone:-M~" 8"~9
Otmer: r:..A. GArJ,...ttJtl;> .. INC. Address:(~MaJ
Location of proj ect: Lot (s) I, '2, '5. 4- PI (P Block(s) -r .
of . U.~'\I~fL..$\~. .PA~ ~C-TtOf'{ ~ (~ '1..)
Present use of property: tJON e: --z::.olCtl:iD ti.- 4
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the ab.o";z,e information to be true and correct.
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Signature of applicant)o'tvner) or agent.
IS 'FILlED -.BY M:r AGE~1T) A .PO,\,lER OF ATTOHNEY STATill'IENT .}'1UST. B.EINCLUDED.