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Agent Name and Address 1. Applicant Name and Address Title Last name Avg p First name kvA-1--7o A House number suffix Unit 42--cict e. Section 193 7 enables the authority to revoke at anytime a certificate they may have been issued as a result of such false or misleading information. 12. 1 am related to a member of staff Do any of these statements apply to you If Yes please provide details of the name relationship and role enst. Declaration I/we hereby apply for a Lawful Development...
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