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Name of it [eis gnature ot Appucant = 07 bio bi doe boakly Laven f12t Address of Applicant Applicant Phone No, mire i Over Applicant’s Email Role of Applicant to Project (owner, attorney, lessee, agent, architect, engineer, contractor...) Propenty Owner: | Address: llc Li le bes Talasun id, wud Director of Development