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Date Notice Served Name of Owner Address kr. S CC- ftt. t c-sncnrt Co-t 7 Or signed - 1 A4 4 oI9 V. Or signed - Ageny Date DD/MMIYYYY Signed - Applicant / H B cr2010 Certificate under Article 12 21 days before the date of this application was the owner owner isa person with a freehold interest or leasehold interest with at least 7 years left to run of any part of the land or building to which this application relates. SQ 15-f t Aar S g H Neither Certificate A or B can be issued for this...
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