TIOI� FOR A.�iENt���T G� ZO1�i33G 4RLINANC�
<br />t�P DISTi� ICT BOUIv r� �' +�; iANGE
<br />E C�P R�SE�dsLL�s �:Iir`��.,SOT��.
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<br />Fee: �2�,00 ���✓�'f3 -
<br />Case No.
<br />Routing;
<br />I.D. Clerk
<br />Bui? d Insp.
<br />Attcrney
<br />`rections �. F��1 ou� �.his- f'oz�m in dupl:icate by typing or V• ���.. _
<br />r3s,�ing zz-: ink. Tf' the sp�ces provided are insufficient,
<br />> se addita.onal shsetsr keyzng information to the proper
<br />` i�em number�.
<br />. P1a.me a� Qy,�•n�r; I,ast First Middle
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<br />, �, Adda��ss of 'Owner: No. and Street Cit� and Zone State �� �'`
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<br />Nam� c�f �p�1:�.cant � �,ast �irst M.iddle : ,
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<br />` � C,�1 Ol%- � '
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<br />Y; ,_ A�dress e�p ican�e � Noa an S�reet� Ci�tp and Zone Sta�,e
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<br />�; Sir�e � Ac�d�ess a.f Pr�ope,ri vy Invo3.ved: : s;> ,`
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<br />� Z,�g�1. Tta�c��p�i.on a.f property �nvolved; .
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<br />' � Proposed: Present: pas�s�; �
<br />P� esent a : Fra ,� 4
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<br />�'�'� f„ s � it� ns make the assa e of this amendment ne.�ess�ry? :
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<br />t� a i� •the e��ct�ec� ��et af �he prnpose amendmen�?
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<br />. i�ha� error, ; i��n ,�.n t�.e �xi.sting zinir�g map and or t�xt of the zanin� :o.� in�'ic�
<br />�r�u.�.� be :c�irr=�e��d %� the proposed amendrnsnt? � t'
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<br />. ;2.. I�a� oth�r :circ�iist�n�es jus�ify the amendmen-t? ,;
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