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PETITION FOR STANDING IN A CONTESTED CASE HEARING <br /> (Page I of 2) RUND CCH PLANNING DEPT <br /> V. wnnV <br /> 101 * ,Amll:32 <br /> NAME: C---e 01rQL09- S 14AA' �� <br /> ADDRESS: ' <br /> DE ERED <br /> ZILU-r <br /> qu -f ZOO <br /> PHONE NO.-.—q.0 -Z-10 , 1 6 IAA--Itt)4 bUf 'COWL- <br /> APPLICANT/ <br /> D 0 CKF T NO.: S 1"-1 A 0 00 -7 117M<-0 3 01W O t1(10 <br /> A. Is your interest in this matter clearly distinguishable from that of the general public') <br /> Yes V' No _ <br /> If the answer is "yes",please explain: <br /> A Aw <br /> If the answer Is "no", please explain how the proposed action will nevertheless cause you <br /> actual or threatened injury-. <br /> B. Are you a government agency whose jurisdiction includes the land involved in the <br /> subject request! <br /> Yes No V' <br /> If the answer is "yes", please explain the nature of the agency's jurisdiction: <br /> ----------- <br /> C. Do you lawfully reside on or have some property Interest in the land invoh.,ed in the <br /> subject request? <br /> Yes No <br /> If the answer is "yes", please explain: <br /> S-k�Ag tw"Co 0 <br /> - _ _ . <br /> e-P-Aj-IV <br /> V <br /> Appendix A <br /> NAR 21+ 2rJ <br /> By <br />