Application for Certificate of Economic Hardship - PDF - City of Urbana
Application for Certificate of Economic Hardship - PDF - City of Urbana
Application for Certificate of Economic Hardship - PDF - City of Urbana
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NOTE: If additional space is needed to accurately answer any question, please attach extrapages to the application.By submitting this application, you are granting permission <strong>for</strong> <strong>City</strong> staff to post on theproperty a temporary yard sign announcing the public hearing to be held <strong>for</strong> your request.CERTIFICATION BY THE APPLICANTI certify all the in<strong>for</strong>mation contained in this application <strong>for</strong>m or any attachment(s), document(s)or plan(s) submitted herewith are true to the best <strong>of</strong> my knowledge and belief, and that I ameither the property owner or authorized to make this application on the owner’s behalf.Applicant’s SignatureDatePLEASE RETURN THIS FORM ONCE COMPLETED TO:<strong>City</strong> <strong>of</strong> <strong>Urbana</strong>Community Development Department ServicesPlanning Division400 South Vine Street, <strong>Urbana</strong>, IL 61801Phone: (217) 384-2440Fax: (217) 384-2367<strong>Application</strong> <strong>for</strong> a <strong>Certificate</strong> <strong>of</strong> <strong>Economic</strong> <strong>Hardship</strong> – Updated June, 2012 Page 3
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