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SUBMITTAL ITEM A <br />DEVELOPMENT APPLICATION <br />PROJECT/CASE NAME: Jl~ge,C(3GCbl -~+~cA cY ~ <br />APPLICANT <br />Name(s): ~_cl•{nfGe liUes~- 1nc_ C/o (wry T~~J'le <br />-s ~- <br />Address: IDJ~p Ghufch Runf.l~ ~,v, S~rf~ 2a~ ~c'S~'~~mk~ (U sSt~~~ J <br />Phone Number: 3C?~- rj~j ~'" y 1 Z 3 <br />2nd Phone Number: ( ax cell, etc. please specify): 3~ 5 ` r(}s ~'" ~{ O.3 <br />E-Mail: ~~. -tuti-Je ~: ~C1~Uf~- AG _ LLr+~ <br />OWNER (If not the applicant) <br />Name(s):_ sume_ qS c~li2.:nt <br />Address: <br />Phone Number: <br />2nd Phone Number: (Fax, cell, etc. please <br />TECHNICAL REPRESENTATIVE (Consultant, Engineer, Surveyor, Architect, etc.) <br />Name(s): ,JV ~~ <br />Address: <br />Phone Number: <br />2nd Phone Number: (Fax, cell, etc. please specify): <br />E-Mail: <br />ADDITIONAL TECHNICAL REPRESENTATIVE (Consultant, Engineer, Surveyor, <br />Architect, etc.) <br />Name(s): ~~~ <br />Phone Num <br />2nd Phone Number: (Fax, cell, etc. please specify): <br />E-Mail: <br />