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- _ _�.� <br /> _� <br />� <br /> , _ <br /> 4 <br /> STATE OC' WASHINGTON <br /> S.S. <br /> CJUNTY OF SNOHOh1ISH ) <br /> ,[ ,c' n-��i.��-�y�.nl��• C'nn•;` . l a <br /> � �n��c� �- v 1P 1�-�2n �rc' , being duly sworn, depose and say that I am the applicant fur <br /> � <br /> a permit to construct a substantial development, conditional use or variance pursuant to d;e Shorelines <br /> Management Act of 1971, and that the following statements, answers �nd in(ormation are in all respects <br /> true and corzect to the b��st of my knowledge and belieP. <br /> �..1.9-,ti. <br /> Signatu <br /> Sci�scribed and sworn to before me this�dayof OC7b�E/� , 19�2.� <br /> (NOTARY SF.AL) <br /> : � �y��. <br /> , - - Notary Public in and for the <br /> � . ` State of Washington, residing at <br /> _ . ���y�= , _ . - ; 56f)TlGE a/� - <br /> _ � <br /> _i <br /> – –_.. <br /> �-------– — ----- � <br /> . ..__ . ___ — � -------- -- . <br /> i, <br />