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) <br />2l;:e,£! <br />~n <br />c-)..PLANNlNG O!V~SLQN <br />locatIOn Number_.....J?F-'-~'-'Q:.<.......:~'--""·~-=6=--V_--'-_ <br />~ject Description <br />,~\;,L\I;)~Q.)(j,cebOJR :for::>\iA o ./'Vi.. <br />1 b1 tJ (,ite Address . <br />Address Parcel 'tl5X -'~iP.JoC; <br />ApplICantcertifies tIlat the property Is as descfIJed bythis plan ;WId1haI al8lCisIilg n <br />proposed structures and improvements are shown.The appticant agrees to complete <br />proposals as shown and to ~y with all tile COI1ditionsoi approval. <br />Signed <br />oWnet or Agent Dote <br />TENTATIVE .AL'l>-"",I .,FINAL APPROVAL I <br />DATE:,,/,\BY:ON: <br />if fA "QX~\('e;'>Gi \~11!p <br />K~~to (2.\0&-- <br />~y\fhV' <br />I <br />I <br />I IIII <br />I <br />III APPLICAN I SHALL BE RE~ <br />;OR DETERMINING LOCATI <br />DROPERTY LINES PND E