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13 <br />W4 <br />J-V1F bAptj or C,AAAV-E-L <br />Project Name <br />Applicant F(AIL-Ir Poste Address I pot'l LAI -re- <br />--EEO <br />6-OAMC 2154- <br />Phone II -7_3 <br />Owner _L/VARA 0I.V%,-A CLII:� 13 <br />Address �A�-I �HILA�--P�FQVG� -- <br />4�5 4APeL OILL- P I c ?--f!51,7 <br />Phone <br />Location of Property 1' �o�M �IUL �ROA�0 <br />ErT <br />Date accepted/rejected <br />Summary Comments: <br />