My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2002-07-02 P & Z Agenda
Centerville
>
Planning & Zoning
>
Agenda Packets
>
1994-2022
>
2002
>
2002-07-02 P & Z Agenda
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/20/2009 8:56:32 AM
Creation date
7/20/2009 8:52:55 AM
Metadata
Fields
Template:
General
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
175
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
Show annotations
View images
View plain text
<br />EO 'd <br /> <br />, <br /> <br />, <br /> <br />5. A. If applicant is a ~nership, state full name, <br />residence, and business address, telephone num~rs, and <br />interest of eaoh ~ember of the partnership: (If mOre <br />than three, include them on a separate aheet.) <br /> <br />1. Full Nama <br />LAST <br />Date of Birth <br /> <br />FIRST <br /> <br />FULL MIDDLE NAME <br /> <br />Interest________% <br /> <br />Residence Address <br /> <br />Residence Telsphone___ <br />Business Address___ <br />BUsiness Telephons___ <br />Soolal Security Number <br /> <br />Driver':!l License N'Jlllber_________ <br /> <br />2. Full Name <br />LAST <br /> <br />FIRST <br /> <br />FULL MIDDLE NAME <br /> <br />Date at Birth___ <br />Residence Addreils_____ <br />Residence Tslephone <br /> <br />Interest__________% <br /> <br />Business Address_____.__________ <br /> <br />J. <br /> <br />Business Telephone__ . <br /> <br />social security Number. <br /> <br />Driver's License Number_____ <br /> <br />Full Name <br />LAST <br /> <br />FULL MIDDLE NAME <br /> <br />-------.- <br /> <br />FIRS'!' <br /> <br />Date of Birth___.______ Interest__.__% <br />Residenoe Address <br /> <br />Residence Telephans___ <br /> <br />Eusiness Address______ <br /> <br />Business Telephone_.___ <br />Social Security Number <br />DriVer's Lioense NUlllber___ <br /> <br />2 <br /> <br />BSSVi?8PI990N X\i~ <br /> <br />\iG\iN\i:l 3ij.J. T 1~1l ,\I l:i <br /> <br />??:v! NOW [n-q?-~BW <br />
The URL can be used to link to this page
Your browser does not support the video tag.