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e <br /> ADDITIONAL APPLICATIONS <br /> Will other applications or permits be required to complete the pro- <br /> ject (If yes, list all required local, State and Federal permits ) : <br /> Body -Type of Permit <br /> SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Owner (s ) (All owners must sign as their names appear on the <br /> deed. ) , <br /> �] Corporate Officer(s ) empowered to sign for the corporation, <br /> L_-I Owner 's legal agent having Power of Attorney for this action (a <br /> notorized Power of Attorney document must accompany the <br /> application ) , <br /> and that th foregoing is true and correct . / <br /> -7/2 <br /> ignature ) (D t ) <br /> X � �- <br /> (Signature) (Date ) <br /> Remember, you must attach a copy of your deed and maps to this <br /> application. <br /> ! • R <br /> 4 <br />