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AYPLICI•.�� � �� , 0,!'� P�.� I ti . . ^ ` . . <br /> ADDRESS — � � C'' '� �� —' <br /> • LCGAL D::�CRZ?'i�TO'.V: LO': I� 1)LOC.I: O�v2'D—_�.�d�l)I'.•:I0�4 _ __ /g <br /> 11;1PLh::�3: , • <br /> Thic forn s;nll bc complcicd by t•he applicanl• ::howing all dimenr...ion� ot CLc pro��cl'Cy. <br /> Shori ul] z:-ension� oE thc cCructure.^, (s) and di.men:i.ons to pro>>ezty ].i.noe:. Slio�, �11 . <br /> ea&erents z:�d other. puUlic .facilit•ics locaCed on or. tiilhin Lhe aubjecC propc�'Cy. <br /> , � I1:DICATF. 120RT11 11! CIRCLE TI:D S1i01'! S7'I2liET$ nIID nLL1:YS <br /> . I' .. • - ' --� . <br /> ��:�-. . . . . .. ' 9zo, r�--, ^o : . , : . <br /> BE D!L`.,,.. :0 . <br /> Ai: A?P'.'ZIA`!'� ' � , <br /> � ��,' .y' . <br /> SCnL�. , ' . <br /> . • ' ' • � <br /> . � � . � y � � . . . <br /> . � . . �,us� � , <br /> �� � � � � ���.. : <br /> J/he ccrti:}• Lh:�l• thc. propo.cd construcl:ion aiill. confor. to lhc �.^.ub�ni.tCcd p1��C plan , <br /> (diiacnsicas and uscs) and t1iaC'no cliangc will bc madc withouL fi.rr.t obCaining �pPt�vzl. , <br /> • ' � I�PP1tOV1�L , DI�Tfi � � / � <br /> •NRFIIi: ' . , <br /> ' � . � . ; . . • . <br /> . • • � • . • � � ' •. ' <br /> . , , • � � ' . . . <br />