Street Address, City, State, Zip Code
Subdivision Lot & Parcel # and/or Tax Map Designation
name, address and approval if applicable
Check all applicable below:
All adjacent property owners shall be listed. Adjacent property owners include all property across from roadways, watercourses, railroads, and/or municipal boundaries. The names and addresses below are those of adjacent property owners as listed in the tax records of the City Assessor and County Assessor if applicable.
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