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APPLICATION FOR SITE PLAN PERMIT
/Multi-family residential project
Other -specify
P & Z Case No. t5!a-~ .",.
Date Received
Applicant:
Address:
Phone:
~
19
Owner:
Address:
Location
..)
of
Present useof~roperty:
Applicant certifies the above information to be true and correct.
Signature of
owner or agent
IF APPLICATION IS FILED BY AN AGENT, A POWER OF ATTORNEY STATEMENT MUST BE INCLUDED
Comments:
3~r7)
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