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HomeMy WebLinkAboutNCC220256_FRO Submitted (2)_20220118CITY OF CHARLOTTE — PLANNING DEPARTMENT SUBDIVISION APPLICATION SIGNATURE PAGE APPLICANT INFORMATION: (Owner of Record or Owner's Duly Authorized Agent) Property Owner of Record: P 6i��15, *Applicant Signature: zz�f Date: Applicant Name: /,(:�' "Z� tip% 64L63^Contact Name: "o & L z�; I-n Email Address: 11-2Z9J?1j 76 7� Phone #: %05��-S l * if applicant's signature is not property owner of record, documentation must be uploaded for authorized agent signature. CITY OF CHARLOTTE - PLANNING DEPARTMENT SUBDIVISION APPLICATION SIGNATURE PAGE APPLICANT INFORMATION: (Owner of Record or Owner's Duly Authorized Agent) Property Owner of Record: —76q I Re). 'N,,(- *Applicant Signature: Y�f �� O'UQ i7 Q�{,�►— Date: 3 Applicant Name: _-,?, �, \a,Avc` Contact Name: Email Address: Wicjotd ha an, P P n K CT Phone #: 1(D - — *If applicant's signature is not property owner of record, documentation must be uploaded for authorized agent signature. CITY OF CHARLOTTE — PLANNING DEPARTMENT SUBDIVISION APPLICATION SIGNATURE PAGE APPLICANT INFORMATION: (Owner of Record or Owner's Duly Authorized Agent) Property Owner of Record: ✓1\ *Applicant Signature: Raz -1 ate: Applicant Name: 101tr ntact Name: Email Address: fi 11-440 4z ,, Phone #7® W 71 S- * If applicant's signature is not property owner of record, documentation must be uplooded for authorized agent signature.