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M CONTACT S FULL LEGAL NAME N CONTACT S MAILING ADDRESS O CONTACT S TELEPHONE NUMBER CONTACT S TELE. NUMBER CONTACT S FAX NUMBER P THE RELATIONSHIP OF TO PROPERTY-OWNER APPLICANT IS NOTE IF NECCESSARY PLEASE ATTACH ADDITIONAL SHEETS HERETO. SINCERELY Signature of Person Requesting List PRINT name of Person Requesting List BLOCK PROPERTY ADDRESS PROPERTY OWNER LOT PHONE ZONE DESCRIPTION OF PROPOSED CHANGES EXISTING SURVEY PROPOSED SURVEY INFORMATION ZONING ORDINANCE REQUIREMENTS ZONING VAR...
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