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.a _ u <br />~~ 29 23 ~. <br />7, _ <br />_ - o€P~r1aS~e _ _?r, h:sf-hrnL~?~. ~"~0€~~7~,"~i2*?- <br />o ist;~_ ~ec~roc~rn t~c~ a _~ice~ <br /> <br /> A~ <br />G <br />_~ <br />~. In cases ~f multiple variances, the applicant ay be required tc~ sub it a props <br />boundary and. building survey. <br />9> Signature: `The a'oc~~e statements are true and correct to the best of my ~~~~ule~,=°. <br />Applicant Signature: __ <br />,. ---- -__ -- - ~.wwa._ <br />1 <br />Property f}wner Signatuo•~: _ <br />bate: '° <br />Phone #: ~ ~ <br />Fax #: <br />E-mail Address: <br />Revised December 2~, 2003 Q:APlanning_ZoninglApplication Forms\Revised Variance Application TP.doc <br />Page 2 of 2 <br />