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APPLICATION FOR A CERTIFICATION OF APPROPRIATENESS <br />*Y�Q <br />cTr O <br />OF SUN PN , <br />I. PROPERTY INFORMATION: <br />Site Designation Name: <br />Property Address: kTL_P,►,ML �S <br />LEGAL DESCRIPTION: <br />II. THIS SECTION TO BE COMPLETED BY THE OFFICE <br />Date of Designation: <br />Date of Re- designation: <br />(if applicable) <br />III. APPLICANT INFORMATION: j I Q <br />Name(s) of Owner: �(1 "� U - W lF� ' � to !^�7 Ac Q <br />Name of Applicant: �.dP_ L-ga • �tl (7 t <br />Address of Applicant: -_ <br />Applicant tele phonenumber: �'�aC��M�t�4�"'�"1%� �t5�`SS`1- 437-97 <br />Please indicate below if applicant is requesting a Standard or Special Certificate of <br />Appropriateness. (Definitions are on page S.) <br />STANDARD <br />SPECIAL �, "1�� +1� 0 `k&L -ID4'. L <br />L�vtL1t-,?- L &-) C- S t S(C `�uCS7 <br />- j)O k- -tom <br />Attachment <br />