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<br />2 <br /> <br />If there is not adequate room on the remainder of this form to list 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 /> <br />FACTS RELEVANT TO TIDS MATTER: <br />DtfC-l.-AR-(:Jl'f/~l'wI &.+ c:OVI!3IV/f....'TS, <br /> <br />I (6,,-,1) 17'c<.....~ ;/:11\.7::> <br />, <br /> <br />t2 e s .,,- f2 J c'TI" ,(..; !t <br /> <br />'7) ~.,C;-~ <br /> <br />(!)sJ(!)",j /91'!? <br />, <br /> <br />GROUNDS FOR THE REQUEST: <br />-:r -f (9 I ( 0 c.U e;) +- Lv-e. C(5) L.J e- -v'-4 -./- ..s., c('? ^--'J ; ../-,c} :1./S <br />I <br />,:),--d fL.-eSTfl-JL(/c-J~~ d +t~ S:;.?~..vLe~ <br />L-,qA t.::>l /V {P HtP I1/[ t!3 tJ w -vt3' A-~ /7 5S cJ c-1t-1-r I'-',rl--. ~ <br />U)IL-L-- PILOv//>e If fe-7fT/ox..- S((;/-Y&,P 1lC/ <br />In v 11/ r:;; ( G H ~rt.~ 1# ..:; u p ~ C) fi- ( CJ,.f -+ 4.-.<- <br />\f~(2.,I"fA/C-t2: ~ ,)6$ T, <br />L/ifft~ ~]) -Q. . I L ~ >, L8= i9 <br /> <br />S:\CPShare\INSPECfION DIVISION\Standanl Fonns\WNING APPEAL OFFICERS DEC.doe REVISION 10121/03 Rye <br />