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HomeMy WebLinkAbout1704 Toledo Avenue - Application7� � iRR-C�--1 �� r 11 :__ F�riP�1 +_: I T r' nF Bi_iRL : P;r,Hf�tE T�= c91=�c r � ' . ;t M �� . �f�1�,% �j 7 ��,°{�A j�`,�g-Y��t 9VRJ�v � i �11 J. �A' � L�LC: w.d Ci.� `hd�j � ;�* _ ,�;� APP�.I�CA'TT�711� 'I'Cl T�r 1��,,��'I�NC� �C�M�'.��IC��'d ��� F . l�� Type af Appli�tion:,�Specia�. �'ermit.�_V�x�iance �ther��i� ��5� � , Project Address: �� o�f' o LE.Do f}�/FiJ c�F /3 Gt RLinlG��nL� Assessor's P�rce1 Nurx�ber(s): APPX..�CANT Narne:�tih �5��.,�i-�_Sf�w�Rt o� AddreSs:. /3.�1 L/�iQFL ST City/State/��p:��4iQ Los_ r S��7a , �hone (w): S9l-�i�3 �h��--- --_ ��: s ��- 9 �� ---- -- ----�.-__--_ s A:k � � I �'I`.�C'I`,'I] E.� 1 �a!"+� �It PRiD�`ERTY UW`N.��t Name: L�.S�_T L/•4nl� Addzess: /� 6� C.P�3Tv� E� Zypr ✓F Cicy�s�ace�zip:���� �,�A F;_ �,�.,�- y �o3.v Phone {w): _� (h):_ .S"�� 3�s6 .- -- ��: s�� � s-6 I1ame;�af^ �w.►iJ� ; <��.�-�/13��c. ._7�__� �.ddress: ��:ty/State/Zip: --_ � �'hone (w): ih)� -----�-_- Please indiiate with an asterisk * t�ie :�untact persc�ra for th�s �p�liC�kton, fax: FROJECT" D��R�"X�N:.___, � S"ia1N���4rp D rT7 olV AFFIUAVIT!�I+Cr�TAi'i�F* I h�reby e�ztify �nder p�.n�I�� o£ perjury that thc inf�rmatxvn �ivcn herei� is true a��� c:c�rr��;t tca rhe hesc of r�}� k�zc�w.edge ars� be�;�ef. - _ , � ����r.v.�' 3 _ p AF,�3:,.�c's Si�raature ��. Date �3 - � I�.now about th� p�rr��x-�;� �pplicati�n a�� k��r���� ��t����� th� above appl�c�r�k t� sab�it tl�i� �.pplicat�on to ttt� Planni�� �'c�mmi�sion. c _ ,3,� 7 Prop�rt wn r's �gnature D�te __esa__�__.,,e_e____ FQ� L3�FI E ___=_4_____e--------_�____ C US� C7I�Y --- ��a� __me____ .m.a___=��n_�___. �,.____�___ Dat� �i�e�: 9�a,r�lti, 3 I�_� �) Fee: � 2.� p`� Fi�nning Comtnissi�n: S'rud� T,�at�: 4!�' �� Acti�� ;��te: �{' �� 7 TOTHL �' , t=i�