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<br />Voluntary Consent to Demolish <br /> <br />Page 2 <br /> <br />Executed this the J.!;-day of /-{~/'V () <br /> <br />tJ 8" '. , 20.-e2. ~ <br /> <br />X "':~~/>-: <br />(OWner's SIgnature) <br /> <br />Current Address: <br /> <br />/ 10::2 0/ (0 II /;r/gS U/() OJIA?~-r~ 77 5:f 1 <br />. (please Print-StreetAddress) <br /> <br />Contact Number: <br /> <br />(please Print- C{ty, State, Zip) <br />3 ~2 - r~ O(~ - :L s S-- S <br /> <br />Current Address: <br /> <br />X 1//.1 6'~0 C~/1 L- <br />'.:: (Additionai Owner,'s Sign$re ,If Applicable)- <br />. ..' . <br /> <br /> <br />II tJ ~ cr c~ 11/ Y\-?~ WDu ( <br />(please p~.. .nt-~etAd{:l :..--:--'. -zc-i/ <br />'. . _ '("";0 ('- r 6: 7 ...J . <br />(please Print- City, State, Zip) <br /> <br />,,';0; ":'.~. I.~, ~,' "" : '.~.. :1' '.,....!,~..:.~'_~ <br /> <br />Contact Number: <br /> <br />Sworn to and ~bscribed before me, this the <br /> <br />q day of J LlJ\ -<2. . 2()~ <br /> <br /> <br />" <br /> <br />l@"!O!!! <br />- .' SHERRY RAE JENNltGl <br />My Commltlton ExpI,.. <br />January 22. 2011 ~ <br />. "4~ClF~ <br /> <br />x <br /> <br />f~ <br /> <br />----- <br /> <br />S:\CPShare\CO<k EnforcementW 01 Consent to Demolish Fonl1.doc <br /> <br />Rev. Sept 2001 <br />