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- <br />5usineas Name: <br />Business AX <br />Cther S—new"s at 7tia Addn e . <br />Phone: 67 Aaeeseor Parcel Numoer(a): 11q — 7 <br />"M"In29 C 1p i <br />: <br />con: � Singis Cwner - Panneranio C Corporation = Cther. cf ld ;,me=Mciovees: E7dMWed Number of ?srt ima or Seaaonai =.mcicy.sea: <br />I Business Gvner(s! Nemo; <br />e <br />3uainese Cwner(s) Address: N i <br />Manager's Name NQN <br />Previous Business at 3u3inmm Address: � e <br />Comer _cc31 °uaineas l.; cssscrs !Acdre:�f: Oh/ e . <br />'Nater SuccN .diic _ CZ erte Wed I Sewage Ciaoosai: <br />4 P'Jclic C Seodc S�/atem <br />',fill there be any reuul saies of :istoia, revctver3 or outer coneaalaale 9rewm3l _ Yea Vo <br />I <br />I NOT ANY CHANGE CF CCCJPANCY YY1L' ECUIRE BUILDING IMPRO}-77 (EtiIE'JTS ANO NECESSARY 3UIL^ING PERMITS <br />i � I <br />I AcGicart s Signature: <br />Cate: <br />E ,u`�,""6�v-�.. �.°,a-r.. \-•a ,��,� '�Ux . St,o .�sz; �+oio+ ` . � <br />W. <br />i General Pian Cesignadcn: C C� I Zoning: C �� <br />I <br />I CEFAMMe4T I APPRCrE] I CE?VIp I 3Y <br />CavNooment Some" <br />3uiidirt9Inaaedon <br />r I' nvironmarttal wart Civ I <br />' � C <br />.lir Padudan :artm Dist <br />SherfR t'lit+sarttt aaiM Onf� I I I I <br />I <br />Remarkai <br />r <br />k: Aeeeofad as CaffMW c <br />CaQieW WHrM_C* eio a fa�P` <br />i Prtar't' (BEEN-BvBd(nQ' CJIJVA�6F'r� AfMO ironrtwrKaji f -ft 0CLOEVROOAPM . . <br />