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. •�� A-n1 lyo�{-o0 I <br /> PUBL/[ WO/1K5 Address Verification Request <br /> f1,�,ra�a �� ov� �lz� <br /> Pl�aae desrnbe ihe prnpertms involved: �I��---LZ-� �'` �� 5�---� -----------�---- _i <br /> Pleasr rompl��tr numben•d r[rms/1 - 7)and 5u6nn(by o�mail fo� rvereNrps��cuveflu�a)nv <br /> �------- ------ - -- ----------; Date:� :'� �� _ 15 <br /> 1.Your name: . Kev_�n ._ �"fePh - - - <br /> _ ---.. .--.. --' <br /> 2. (a) Your mailing address: (b) Your phone: (c) Your e_maiL• <br /> _i�7"-i►a+�h �5+ 5�-.---------- r��,-3sv-o�t�------- <br /> Y ►c e,n„�.•i��r s>, L.111 f.�^is:0 r1�•C.^.F?i <br /> GvrrP'�'f' (.l.)C� 98�a ��s <br /> 3. Date needed (please allow up to 4 weeks for review): �1�14�� .'ri <br /> �. Postcd building or road address I I �1 - I � � � �� ��� �� <br /> 5. Please summarve your concern with the assi�;ned or posted address. <br /> _. _ . _,._,.. _ __ . <br /> c,h,ul� likr _ �1�,.���;-, , ;,o�n,,�j� -.�, �fllq �5� Avn `�� �'iP�c, t.•r.:• <br /> � ��. � � <br /> v.�ve: . . . ,.:� ? , ,.� ':.,,��,;Ir Ro,_,P �:.ou/r,,; �� ;., :: ;a- <br /> 6. Map attached to descnbe property or road location (ro expedite review): �es / No ❑ <br /> 7. (a) Owner name and mailing address: (b) Owncr phone: (c) Owner c mail: <br /> '� ;:i r� G > , <� �>O�_).E '_�c'. �t_e� <br /> � '=�' �vt L G S r\ :�'�-C <br /> --- - — -- — --— — --- ------ . . __ — <br /> c-,t� ��i� ���.��� U�� 1���� [/,d;r ;1'n.: <br /> Cunent Parcel Address: i <br /> Sue�!ested Varcel Addrrss: i <br /> I Ov✓nr•r written ap�iruval tn revise parcel address received. ❑ Yes / Nn Ll <br /> nvdnr r wntten approval Ior city proposn�J ,uldress received: ❑ Yes J Mo ❑ <br /> COE. Master AddrFss: <br /> i <br /> Il,o Sync GIS Mdu Addres�, <br /> � ��4iirofiche: <br /> I <br /> lltihty Rilhnt;: <br /> Peirnrt 5ervic�,: <br /> Field addrpss verified with phot��: _—-- - i ------ ---- ----� Yes / No L7 <br /> 4pPhcatin�•. Inrm .;�,� i ihh onh^r tt huP//vrww eveirttwa ur��/Gcl PDF.�upx'pd11D=5dAR VudatvJ 9/ll/_U1�1 <br /> CI IY OF EV[RETT �U�f OIPlG UI�PAI�I�f11-M1 ";�('p C[DAI7, ;1, I Vk.Rll l� V!A 9H141 '1lS-J'�/ NNIf) �v�vlv.�'vcr,tLhva ortl <br />