Laserfiche WebLink
~~ <br />- - m Ill <br />~ ~ ' <br />~~ ~ ~~ va <br />., <br />_~ _.. _. <br />9 Lt <br />Please complete tl v ~ °ation by typing or printing in ink. if the spaces provided a~-e insuf~cient, use <br />additional sheets, key'. infor~~nation to the prop. ~ ambers: <br />1. rr,~;: _° E~f.~vner^: (Fia~st) (i~~idd~el (Lc~st~ kph©ne) <br />l~Ier"itex l~.~terp~°~ yes ~ Inc , <br />~< 1 ° '~E s of C~wne~: moo. ~ne~ Street} ~E `icy) ~ ~~~~ ~ (~ip~ <br />2285 _ `' U~ eeti Rosev~~1 ~e t 5~~ <br />3a Name c~~~ ~. ~c~---t: _ (~lidc~le,~ ~ 1 st) (~'ho~re) <br />Same <br />a 4, ~1c~dress of ~ppliecent: (1~fc~. ~nc~ Streets ~C`ity~ (State} (Zips <br />S. Sty°eet ~a~elress of ~'~°operly InuQ~vec~: <br />2281 ~~~~.nt~ St;reef <br />g Cam. cl, B2 ~~ Sect:icn 8 _ 2~ l~ar'ge 2`~ <br />e C`a~nplete Leal Z~e.scriptian elf P~°operty Invc~~ve ' c?r I'IF~ N~. (l~elo~~ or attached): <br />Q8 a 29 . 23. 32 . C1tlQ~ - paved. pcrtr~o~ ~~ Parcel 3 ~s at ~~el~ed <br />'7. State exactly ~a~hat is intenc~ec~ to be done an or lvith the p~°operty that requires the interiFn use <br />pertatit: <br />~~ccre frez~ht; t;ra~2ers <br />Page 1 of 2 <br />