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•C 7'1' �' U F ii V i. �< i: �: ; <br />� 13 � A R D 0•T' A D J U R'T M 1: N T <br />APPLICnTiOId rOR V71RInIdCE. <br />FOR OE'FICE USE ONLY <br />SEPA Clearance <br />Planning Department Sig <br />�APPELLANT Dolph G. Falkenhagen ADDRliS51846 Woodstock Circle, NW, Salem, OR <br />ti�3o� <br />'' LEGhL D�SCRIPTION OP PROPERTY IN QU�STION (Tncluding Address ii ' <br />kppliCable): ' 183843=15 Everett Plat.of Blk 679 D-00 - Lots:21 622 <br />.r------- <br />��...� ,.., . •i2.R <br />' • no <br />(Ci:ECIC ON::) Or.�ner in fee simple • yes C:ontracL-• Purchaser <br />' Date of present o�anersliip of propert�� {if owner) 19� .: <br />.Aze you the o�•mer o£ or purchasing a porfion oi a fo=r.+�r�y larger <br />re�orded lot or trzct �ahich included the lot or tract in question? <br />NO � <br />D�scription of prior lot or L-ract: '' �, <br />.•• DLiAIr�ED E}CP_T,1L'��liION OP TIi� SPI:CII'IC '�A!?TArC� ?tT�li�.�'iTED: <br />' Have maximum of five (5'I parking spaces •(�' ; f'u ,Y� �u� <br />i i, 5 r'�-1 � i , . <br />. � / -- �7 <br />. . . , iiIG1�I�'1'URL•":�JL:r^11 (> /!'�'��"i'"�//�c��{'��„ <br />. ' ' , <br />. <br />� ' • � ' , ' Pnd1:1r•.: 3(;,}- 72 /� .S,b �/�" i � : e-r <br />,_'� _ ,�'•,- • ' - <br />0 <br />