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I <br /> Planning and Buiidin~ ~4gen~y <br /> i~~anning ~~~r~a~on <br /> Ctv#c Cantar Piaza <br /> P.t~, Box 198 <br /> Santa Anal CA ~~70~ <br /> " ~~`14} G4?~~844 <br /> wwwtsar~ta~ana.~r L~~i~1T~~~ ~~~~~Y <br /> Thfs app~ioatfQn fs far: <br /> O Amend~ent Application Lat Line Adjust~ent <br /> ~ AppeailPfanning Commission Metro East bite Plan Review <br /> ~ Appeaf~Planning Manager Minor ExceptEOn <br /> Appeall~oning Administrator ~ Neigh~orhoad Praject Review <br /> ~ Parking waiver ~ Parcei Map <br /> certificate of Cornpfiar~ce ~ ~ Planning Comm+ssion bite flan Review <br /> ~ Conceptual Review ~ Residential Relocation <br /> 0 conditional Use f'errnit ~ bite Pfan Review ~17R~ <br /> ~ development Agreement ~ Specific Plan <br /> ~ Environmental Review `tract flap <br /> ~ general Plan Amendment Variance <br /> ~ Historic ~emalitfan ~ caning ~rd'rnance Rmndment <br /> Histaric Project Review ~ Dther <br /> 0 Land Use Gerti~icate <br /> Proje# Add~ss: <br /> Aseeasa~' f~ar~ef fVum~er~~; - <br /> 1, as current aegaf owner oi` the property identified abave and in the attached appiication~s}, aoknawledge the <br /> si~f~n~ittal of the abo~re application~s~. f ~~rtify that the ir~farmatian contained in the appiicatiar~ package is tr€~e and <br /> correot to the Best of my Icnawiedge, <br /> Retarded l'ropert~r owner <br /> or A~thori~ed signature; <br /> , <br /> Print f~larne, <br /> ~itfe: <br /> ]~y7 i <br /> it <br /> ate, <br /> Nate; An original signature is required on this form a part of the epplicatian. ?~n agent far the property owner may <br /> sign the applicatian provided that a signed originai fetter oi` au#harizatian from the property owner <br /> accam~anies this affidavit. <br /> ~a~~ ~ o~ ~ <br /> <br /> cmldr~ ~o~rr?sla~ii~avit 110 <br /> <br />