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Legal Owner-nne Li Vic, 0i :vavd-a Aw, LLC 3( �0) 5 <br />Full name of Person, elm ar Wpplonulon t� Area �CCa le Phm\e Number <br />I "" O� Area Code Fox Number b <br />1 Melling Address I <br />Applicant � 1"1c - Vlei It 3�) -:k- 00� <br />Full name of Person, Firm or COrporalion Area Code Phone Number <br />a I ��er�r cis Swik� [ebd _ ba <br />a Ilnn Address (?Cone Fax Nutubar <br />Contact Person . t �'- lire ar <br />mm 6 a of Person. F r or Corparellon small ad re e <br />Molly -Tan <br />L�IDt �aL 20t6 3bqn r to.1 ' h 007 <br />Area Coda Phone Number Area Coda Mobile Phonc Numhar Arco Cade Fax Number <br />PROJECT DESCRIPTION <br />Project Address: 2u lJ Vvv�L l vl�lvr _u. <br />Assessor Parcel Number(s): <br />Total number of units proposed: <br />Number of Rental Units: i Number of For sale units: <br />Number of 15% Inciusionary obligation:. <br />Identify the gross livable area of the proposed project (Including private balconies, <br />decks and patios). I1016M' square feet '' <br />Will the project be constructed in phases? __ -Yes No <br />is a density bonds being requested? Yes ✓ No <br />CITY APPROVALS (if applicable) <br />INCLUSIONARY HOUSING PLAN NO, �', r, • . Q (� <br />9°AAPPROVE ❑ DENY Date: _.k 2- 2't 20 C Signature: <br />Pago t of 4 <br />6tPlnnninp \Clerine4GOUnlar Farms \HOOnppkaaan <br />1115 <br />