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Rev.20180104 s DESCRIPTION. OF PROPOSAL ~ I-Ioll'- Pi. 141' Ft2.1 rifE flut!. Pc ';1£ Address of Site Proposal (if not yet assigned, obtain address from Public Works before submitting application): APPLICANT Name: c:. li~ ~> f?L Et::N ,C;?L-> ~~1 IIANE ) ./ Add ress: ---=-=.J:?2~/-=~,----' -",U=-.:,,-~M~6'-L.llV~·L-r.;;.L~=c..,,,,,6L<=.>c:L,,,,,c>----,-n.-,,,L=-, -1/'-' _S-ILv%..JL.LI+;{A=:lP"L.:.v~E"'-:.:,t-t •..•• 1,.~)AL..l-_?"-,~...L7_~"-"().""'~"-':-_ Email: _-.-I_DL_._~_.=~:::...<./t--.tJ:....!K-.L;1 A'--'. .:....:N:....=(;.:::.....::=(~=J=--.::(:~)..z..;/I1:..!..A=.:..<ioZ<"""'z..==-,:......=c.~:) &t<-c-- Phone: .2()/-- fql/- oftl PROPERTY OWNER Name: K4TI,f!?Y/V /(,EV,PA$' Address: .3 714 £. ,2 lT7..1 At/$" , ~ e4:(',lWtE , u A, 9922:l 7 T I Phone: !;rJy#,b-tjtJ- 7flotj. Email: _ AGENT / Name: CI-I!2z:;> ?L~--rrv l PL 5 SPo,,(ANE:y2 Address: .1.;2. IS-' LJ, M QtN 11:" C(;:-u: j) (L- ( ..J;.P/2J(Atvtf> 1J11~ 9 722? j J 1 ; Email: I.JL~¥OKAtV6 Q ('MAzz. 6c"i+f Phone: ,;2{) 6-- ¥i,q -(Yt61 •t • Assessor's Parcel Numbers: _J__ 5:--"2-===-..:..7_4.L.-..;.,,--=-/~;2_tl__'9'___ _ L .-' 4 rz/ 1'J J. L- !/- l' /" 11 .~ .J./ ()I ~ t..?LX/( 0+ ta) Cfi( IV 1-t£-:J:79J1z:::t.LL i 0 0 7 J 7 Legal Description of Site: Development Services Center 808 West Spokane Falls Boulevard, Spokane, WA 99201-3336 my.spokanecity.org I Phone: 509.625.6300 I Fax: 509.625.6822

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Rev.20180104

s

DESCRIPTION. OF PROPOSAL~ I-Ioll'- Pi. 141' Ft2.1 rifE flut!. Pc ';1£

Address of Site Proposal (if not yet assigned, obtain address from Public Works before submitting application):

APPLICANTName: c:.·li~~> f?L Et::N ,C;?L-> ~~1 IIANE )

./Add ress: ---=-=.J:?2~/-=~,----' -",U=-.:,,-~M~6'-L.llV~·L-r.;;.L~=c..,,,,,6Lc:L,,,,,c>----,-n.-,,,L=-, -1/'-' _S-ILv%..JL.LI+;{A=:lP"L.:.v~E"'-:.:,t-t •..••1,.~)AL..l-_?"-,~...L7_~"-"().""'~"-':-_

Email: _-.-I_DL_._~_.=~:::...
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