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HomeMy WebLinkAboutPA2022-0203_20220921_Discretionary Application Owners Affidavit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nne Danner 09/22/2022 Removal of existing mobile home and accessory structures. Installation of new mobile home and accessory structures including aluminum carport awning, deck, steps and concrete walkways/ driveway. ■ 440-132-62 Anne Danner Owner PA2022-0203 I:\Users\CDD\Shared\Admin\Planning_Division\Current_Templates\Office Use Only Form Updated 01/27/2020 2700-5000 Acct. Deposit Acct. No. ________________________ For Deposit Account: Fee Pd: _______________________________________ Receipt No: ____________________________ FOR OFFICE USE ONLY Date Filed: _______________________ APN No: __________________________ Council District No.: _________________ General Plan Designation: ____________ Zoning District: _____________________ Coastal Zone: Yes No Check #: __________ Visa MC Amex # ____________ CDM Residents Association and Chamber Community Association(s): _______________________ Development No: __________________________ _____________________________________________ Project No: ________________________________ _____________________________________________ Activity No: _______________________________ Related Permits: ___________________________ Remarks: ________________________________________________________________________________________