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N <br />r " ' . <br />•ca:�rx o�� <br />. <br />�:v �; �<r.,,,,, <br />t.-�'�1 ly°'.� <br />n o n n u o a? n n.r u�, •�r r> >: ta �� <br />APPLICnTTOId I'�R VnRInHC�. <br />FOR OFFICE USE ONLY <br />SEPA Clearance l�L <br />Plann'ing Department Siq <br />. . � h � / <br />AI'FELLAl�1' ��/i1�^,-� /�� //UL'S ADDR7iSS�� v �� l�f i, ,���� _�,� � <br />, �y,:o/ <br />b;:G1.L DESCI2TPTIOIv OP PROPIi12'fP Itd QUESTION (Tncluding Addre:,s ii '. <br />�s; �1i�u>>��) : �,� �� r�K l 7 .1 h � �� l!>•[,, ,, � :�l�' .l �� W L /1 _ <br />.a`2 ..� � � 'S i >rtc�C /� U• L' L) i= � 1J // � � � U . � <br />z /� �' �.�`. — <br />..� :��-<'. <br />a <br />(C'r:BCIC ONL•'j Oa:ner in fee sitdple iY �ontracL-�Purchascr` _ <br />Date of rresent ot.ncrsl�ip of propert�� ;ii oorner) /vJA.i4'f{ 19� <br />l�e you Lhe owner of or purchasing a portion of a iorr�:erly ].ar.gcr <br />re�orded lot or tre.ct whicii i�icluded the lot or tr-tct in question? <br />0 <br />pescription of prior lot or L-ract: <br />� <br />ALiAIL�n rarzr�:a,�'PION OF THE SPECIrIC ''T�!?iArCli R7iQliL'$TT:D: <br />, , . <br />,/�7� /� /'U L L��$� � c> G"J /9 1(�C' M D lF'l�-• f-1 � 1 S//-�< <br />�U���"J/i� ✓ .. • _ <br />v <br />--�-- � <br />. , ii.11.l�%�.1'�RL:: Y' 4� � I � �/i(/1��� <br />rnor:r•.: _�2 S ,2 ._S o �/G-- <br />e <br />0 <br />