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• - + • • <br />PAGE 2 <br />Ct <br />If there is not adequate room on the remainder of this form to <br />list all pertinent information, please feel free to attach an <br />additional letter or any information and exhibits you feel the Board <br />should consider. <br />FACTS RELEVANT TO THIS -'•;ATTER: <br />(~2 Cl.r/+t ('2C~,J F-5T7/J~i ~2-11~n1SS + 0~ <br />Z <br /> <br />u <br />~c.4 t.J ~: c ~• ~ S G.~S v N~o~. ~~s'f 4.e~C . Ul.) ~. tie <br /> <br />~ ~-~,~•nw az ~ ~.: c~. ~O t~--s ~ <br />~ t ~ n <br />,~r~e c ~~~o r a `' c y'oss --{~~c <br />o r ~Inc~ ~ dw~ s ~ ~e -- ~o - S I'AE. s~a~ L b ~ ~ t' b ~. <br />GROUNDS FOR <br />~ THE REQUESTl: I ..~~`` <br />~ - <br />~ <br />' ( -Q <br />~O ~? cv-•°\ <br />l UhrCQS fide <br />at <br />C~nS~ e ~a Q S <br />v <br />rD ~C t 1~~ , <br />n <br />G~.u`$~2Y0'+~.5 C~nc~ t-t r !M d~r~ ~C ~ O 1 ~ N car irs ~ttn~. e.~+n~ <br />~-Q.c~~i1n p.M G~ S c~ ~ S G ~S ten ~~ , <br />;~ aoT ~~~ ~ doss _ ~ se..~~ ~ h ~ ~ ~ec~ <br />~ ~ <br />( Gam <br />'.h ve~ -- ,n -e. <br />CED/1-~$7 <br />o~-~. <br /> <br />2~C~Ps <br />etc y~~ -F~ <br />~~ 51De S~ <br />TYPE OF RELIEF BEING SOUGHT: <br />