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I <br />NAME <br />T—Pe-titi one <br />O <br />ADDRE�S <br />9 <br />uammmmam M- <br />Examined, checked and found to be in proper fo m and to be signed by the requiret <br />number of owners of property affected by the making of the improvement petitioned for, <br />Dated 197 <br />City Manager <br />