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LAND USE PERMIT APPLICATION — Bumett Couvt <br />Apphount Cam hmt, AO Sections Behove Thio L'me <br />g <br />ee.rlT)pm wDes: rcReeR wvwdl.ean.. I <br />o.ar,.yP,o,mim=m.. -n -.mb <br />-%s Pwuy a <br />momyP,:=,yo ma.we-mm'-rmy nono <br />aw w ,uWoet Jew <br />ane Sim <br />Wsho. AM.n�<AvemOpne. no <br />?. <br />me,N(Ci aln aW<a up a <br />:mm..nm.. pall.l®Sso <br />yam✓a tod <br />loot no <br />ma <br />•Nol e. mold,, (.m.. Poore bans aN poo, to woimoP.n o Pp to three times the horned be. <br />fiet, <br />moss,.me„ee.e..e.aa, : Ime. <br />mLA,ei[N <br />Owner's Nut L.F4W'a J,SN el12 <br />Pmpnly Ownerne: <br />Pmpeq OwneisMuliw Addrta: [ II J /aw IF Mn/ Sf/3 <br />[` <br />T <br />CRY Sbk Zip <br />7 <br />P:openy SileAWrers: ✓J023 [✓WF Ave D.Lvbwry uS SVQ30 <br />1 <br />Contact's Telephone 611 -SOI —37S1 <br />C <br />.N}umber: <br />comaera head J "Poem, iATY in Nennwll we. <br />Legal Deunpticn orRopelty: 7 ,e+. [.xtv >< bw D Y.4..1 L.wt /. Sr 3 O+AII <br />Semon b: Tows p: NRaoge fi: W Thereof OwwnnD <br />Most dliwnlpge g'rteeledf kyOy olsoophn OR roA A npy%`Ib does OR seen, uen pryery Paye' <br />IjIC <br />To M#(1-5 digit o=her, Wind on on se ): 6 i <br />PlcposedUseofSlmmodAddition: G 1� <br />— <br />AntimptN Seat Daft: T✓[ /ll 1Ol> OIUN'.la ew.r',u Roe.wa: got he* <br />Building Cmueclar: 0 T:,^ a"«o:'-53 SnwlMJle.: <br />AREA BELOW <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />J/ q <br />�O OG 1J54� 30 r7`Py3 <br />3 <br />� M pelf O(��� <br />$ <br />Datedrr she Ievb m. <br />�M <br />OFFICIAL DATE <br />TtoPmOYVED� DATf <br />i0 -aa -17 <br />`J Pelle IOfJ <br />BRFReD Comedy, Wl Land Um ApplipBoe—Base, 03rz017 <br />� <br />