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NO'HOL TO APPLJOANT
1 appl, icolit I t� ottwth-111 (AVII(It 11 PI 00t kit -1ri00( t1wS01,;
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In ordor to lo%Vkkk �4iklll III(! -Applivotiwi foi Ilomill".
Applic,:,ition shall NN .,.tvu,wlcwd wid it clot -'Iqfwd hown01 of hl,�k legal agent.
2. Al,l Rom,,; k10 oppfwmiom x,11011 Ilea It 4111 00111 1"1 I)Ot 410liCablo, Indl-
onto by than sylvi,lol it .1,
3, Explain briefly ,,:- "'IlIffleWlY tI10 11,1411'0 Of 11W PrOPMA)d LIBO—ThIs 18 vary
Important and a reqiwite.
4. Ton Copia, of o i1ov1W,?!d Plot p�lati shall wxompany and bo made 1 pati, Of III()
"Application for Uso Porftw-,
ThO Plot Plan shall includ("i thk.a following:
a. A Soalrad dravving of tho pay.ol(ti) boundaries,
b. Location of all existingand proposed bUildIngs and lmprbv�rnents.
c. Location and qIze of existing tind proposed accoss to Ilia subject parcel(s),
5. Applicant shall further understand that the "AppIlwition for Lke Permit" shall
be subject to the,.approval of the Planning, Con1misslon, or, Upon appeal, of the
hoard of Supervisor;;. Any Subsequent sp'oclal conditions OrdOeed by the Plan -
'ling Commission shall be made n part Of the approved ,Use r-ermit" and shall
be binding on the applicant,
I hereby declare under penalty of perjury that I have read the foregoing
Instructiori,,, and stitemorits and under -al nd thoir meaninq and context.
DATED:
(Apphc III)
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