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<br /> <br />,S'S,10l0 ....ff <br />SIZE OF PARCEL(S);f.<l"l To.(,... t:t, ... C(L .... -I~ u:J <br />A~P t;c:.,cW "I-rf. I. I ~... " 0., -/i... ~ <br />PROPERTY OWNER: !\~bl" .. ~lruoll"'I'H LUl... PHONE #: <br /> <br />FEE OWNER: &lA(,I~ ~, L.lyz- Alii) 6Jr'Ulse"M" t.,~J.- AUf ta...cP + wi~ <br />ADDRESS: 'fc",'7 1L':>'. It"t ~. . I <br /> <br />APPLICANT'S INTEREST IN PROPERTY: <br /> <br />FEE OWNER X CONTRACT .PtJRCHASER <br />LEASE HOLDER OPTION TO PURCHASE <br /> <br />DESCRIPTION OF REQUEST:J; ~Zo..e f~'" w~rf 470 ',. yo I 1. ~(, ~~ <br />1'f/l)", .::t..lIIJrlkIHL +- ~~IM!"''''I,'''' t,-'2.1l A^,~ 6~ '-I:'C>~ 130." ',~I a,CR:fJ' <br />F~. .:r..i)U'rtItHlL 1oa. c-"'M~<<CU\t,., <br /> <br /> <br />REASON FOR REQUEST: -r; ~ ~:U N4-U jowh ~bl^4RS ,f.'I./)J t~~ a.. <br />C.C/A.(,.. .(?/l.A:.-lto{. /o"".i;". "l.() ~ A,<e. . <br /> <br />By paying the above stated fee, I understand that no refunds will be issued in full Or in part, at any time, <br />even if Ih come is denial. <br />. . <br /> <br /> <br />Signature of Property Own.er <br /> <br />Signature f Applicant <br />1/S~ t' <br />Date /I. I <br />f-tQ"cl3-i ir !M.A ~r''''/;~r, L l.-<-. s-E~NJ4 <br />me.. ",It e.JA) ~I <br />l.cJ$L." ;1-("... rJ'fi IIi.) 651.... '/01-' 'lO77 <br /> <br />~1t#r;~lVt.\ <br /> <br />lOO'd 391# L1:81 v000/S1/10 <br /> <br />V09S 39L 1 S9 <br /> <br />dnO(J8 m3\llOOlNOV'l 3Hl: lUOJj <br /> <br />~ <br />