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<br /> t <br /> Plar~r~tn~ ~r~d ~u~ldir~g ~g~r~~~ <br /> Pl~r~r~in~ D[vision - <br /> ~ ~~vt~ ~~n~~r Pla~~ <br /> P.~. g~x ~~$8 <br /> ante 9~1~~ <br /> ~'i4~ ~~~"584 <br /> ~'~is a~p~ictinn is fors <br /> ~ ~r~end~er~t Application ~ ~,ot Line ~dj~tmer~t <br /> ~ Appe~?IlPlannir~~ ~er~~i~~ion D Metre aet bite Plan Revia~u <br /> ~ Appeaf~Plnning iar~ager ~ dinar exception <br /> ~ Appeal~~ening ~dmir~itrator ~ ~ Ieigharhaed Prefect Revieu~ <br /> U Parlsin~ Waiver Parcel ~iap <br /> ~ certificate arnpliance Planning ~e~mi~~i~r: bite Phan Revie <br /> ~ Car~ceptual Re~iev~ ~ Resider~tiai Relccaticr~ <br /> ~ ~ndit~er~al Use Pe~r~it 0 bite Plan Revie ~DR~~ <br /> ~ Development agreement ~ specific Plan <br /> ~ l=r~virer~r~entai Review Q Tract flap <br /> ~er~eral P~ar~ Ar~ender~t ~ ~lariar~ce <br /> ~ ~"~it~riC Qernollt'l~rl ~ 2enin~ ~rdinar~ce ,~rner~dment <br /> ~ Historic P~e~ect R~e~ie,~ ~ ~tl~er <br /> ~ i_ar~d Dse e~i~icate - <br /> } <br /> Pro~e~ ~da~reas: ~ 3 <br /> Ae~~~'s Parcel Number o <br /> I, ~ torrent ~eg~1 over of the prcpert~r identified above in t~€e attaches appiication~~~, ackr~e~ledge the <br /> submittal the above applicatier7~s~. l certify tf~at the infermatior~ n~a~ined in the appl~catien p~~l~age i true aid <br /> ~a~re~t to the heat of my kne~ie~ge. <br /> Recarde~ r~reperfy ~~r~er <br /> or Authorised igr~ature: k -t <br /> Print Name; ~ 4 <br /> Title: ~ <br /> Date: <br /> I <br /> iii i~~~Yr"' w~~w~~1i IIIYW iWI...11iWMi1~~ S <br /> cite: An original signaturf~ is required an this forr~~ as part of the appl~ratior~, An agent fer the prcpert~r or~ne~ may <br /> sign the app~i~atian provided that a signed or~gir~ai leiter of a~thc~rizatio~ earn the property over <br /> accompar~ie~ this affidavit. <br /> Pa~~ ~ of ~ <br /> cm~frc f~rrns~f~davi~ 1l~~ <br /> <br />