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0 <br />If there is not adequate room on the remainder of this form to fist all pertinent <br />information, please feel free to attach an additional letter or any information and exhibits <br />you feel the Board should consider. <br />FACTS RELEVANT TO THIS MATTER: <br />Seer /t99. A.4j o&,e ,Ai.,.Y. <br />• 12� F �0"';IT� <br />0 <br />GUr�-J il/ ort/ [�� .v10 /1 /W1 rI S &o&,.04le A <br />_S rc %D Z . 42 l /- ..ZeIO D !L (I t 7-V <br />TYPE OF RELIEF BEING SOUGHT: Y 10L) <br />y J t /P& e 7" PIA ili/li ',c 1, <br />1--A// • r u •wAle"f .S e C • lab , aly/ z2ey /,� <br />-ff9 � do w, P., �V .1:�./ca/ �� <br />Ace m �lv w r St 1od1�.�C3� <br />GROUNDS FOR THE REQUEST: <br />l�vc Ater !d,1tt4 1.'L// evaTy X4r)oT <br />0." �rl fiv &0 �'0004/ '.-1i <br />d /,I/2r Alee eIIt" s '** 4.0 <br />2!Z JP/sue uJiu.� ,r S io ge l� <br />S:W:PShr"%INSPEMON DIVISIMStandaW FormsUONING APPEAL OFFICERS DEC.doc REVISION 10/21/03 RYC <br />