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CITY OF PACIFIC GROVE Community Development Department - Planning Division 300 Forest .Avenue, Pacific Grove, CA 93950 T :: • F :: 831.648.3184 • www.ci.pg.ca.us/cdd Permit & Request Application Project Permit(s) & Fees (Staff to Complete) Permit: Fee: Multiple Permit Discount: J..I-{5 $0?11.\ Project/Property Information App.#: Date: Received By: Total Fee: RECEIVED COMMUNITY DEV DEPT. Project Address: 2. 0 ) - 2. O '? t :i i " S-t APN: l)Olo Lt 3 0 011000 Lot: VJ ,-1 Block: _,,J'--1-'--------- Tract: zc (),_-,)- GP: HorZ.JLY Lot Size Project Description: Applicant Name: ,Jo$.z:?~ \)

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