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Applicant: <br />Name: _.- . ...... DBA: . .... ...... <br />Mailing Address: . . . . .......... ..gym«„ „r ,�.�:.ww..."wMW, ".,max. m.�,a,,w�. <br />. ...... _111111-__-11."_" . . <br />'Telephone #: . .. .... . . . ..... . ........ . <br />owner: <br />Name: . ....... . . . .. .... . . ....w�wu �����.. o w, ,,,,.,. n,w:w...........x����n�ww,.w.amw��m�,r5�++. <br />BA <br />D: . . .... .............. . . <br />Mailing Add( ess: <br />Telephone #: � . . ....... . . ....... Email . ..... . . . ...... <br />property Parcel(s) Proposed for Agreement: <br />No. LCAD # Andress Lot Block Addition <br />2. . . ...... <br />. . ................ <br />3. . ..... .. . . .......... . . . . . <br />4. <br />. ... ......... .. ............ . . <br />. .. ...... ... . . . .... <br />scription: Include as an attachment a Will legal description with metes and <br />Add additional sheets If necessary. Full Legal De <br />bounds or a copy of the deed, if available. <br />improvements: <br />Type improvements for new Construction (check one): 0 SF 11 2F 11 MF <br />Total Number of Dwelling Units: <br />Estimated Value of improvements by type: <br />Estimated Start Date of Construction: . .... .... . ............ <br />Estimated Date of Completion of Project(s) ......... <br />Description of Project (attach site plan., floor plan, etc.): <br />Applicant's Slignature: . .......... <br />Date: <br />Ownees Signature: <br />� e� �.. �� � ���� <br />Page 7 of 7 <br />