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<br />30511Z150 <br /> <br />T-I4I P - 008lDZ I F-IS7 <br /> <br />OCT-02-Z00l 1':3!AII FIll>>CIfSD <br /> <br />REQUEST (S) COVEllBD lJNDER 1BJS APJILICA11ON: <br />-WrArrA<:.JtED SijlaET <br />PJcue check 1be appmpriIIe bcm ... aM . briaf dcKri~ 0I1be IIiI!DI'o ottbe <br />.... ill die s.-:e JII~ <br />D~PIaD~ <br />o ~ ...........;r /" . (.) <br />BSiIa.... AppauaJ. <br />~u. <br />It'v___ <br />0PIIIt~ <br />C n-ftr ~~..~...... <br />o VCIIIId.... <br />o .AppeaJ. <br />o OIlIer <br /> <br />HM . plbIio .riDa bcCD b8Id _1Iu. pmperty widIiD the last JaII'''' alllJf'l 0 yes ~ <br />If~ appbta DIllIe <br />Date ofbearimr <br />NatIn~~ <br /> <br />DecUioa mhe8riDt <br />JI cso1utJoa #I <br /> <br />12. <br /> <br />13. <br /> <br />e <br /> <br />e <br /> <br />6. Address or Ioc:IIioD of subject pIOINIIl,. 323 SvN fV Y 15 l-E"S 13 LVD <br /> <br />7. <br />8. <br /> <br />Size of property: , 00 ft. x ?IJo <br />DaJe aJbject pmpedy acquired 0 01' Jeued 0 <br /> <br />tllCRl 0.+6 <br /> <br />~ol J'j' <br /> <br />b!nD ofJease <br /> <br />years/months. <br /> <br />9. <br /> <br />Doea property OWDII' OWD COJltiauoua propelt)' 10 tile IIIbjec:t property? If 10. Jive <br />complete Iepl deIIcripIioa of eatire ~I'IOUS property. (IflenstbY. please type OIl a <br />sheet JabeJed MCnntipous Property". <br /> <br />~ <br /> <br />wo <br /> <br />10. <br /> <br />Is them an optioa to ~ 0 or Jeue 0 the subject property DI' properly <br />COIIIiguOus thento? <br />o Y.or ~ No <br />If,., wmo"GIo~~~,. . ..<11... grJe.CCl? (OJ~I_ "'oI~ofJIarca <br />mn.. ....). <br /> <br />PrIlsent ~ cJaaifIatioa (s): Tow}/ Cb..4IrfE.R D IsrR I c r <br /> <br />11. <br /> <br />3 <br /> <br />city ofSuIIDJ Isles Be8cIa <br /> <br />Phtnnitt _...~'". n----.. <br />8.... ~8-a-aUUl:llll <br />