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(775) 847 0966 Fax: (775) 847 0935 ****************************************************************************** OFFICIAL USE ONLY Date Completed APP Received: Scheduled Date on Agenda: ****************************************************************************** 1. Assessor s Parcel Number(s): 2. Applicant: Mailing Address: Phone Number: Email: 3. Legal Owner: Mailing Address: Phone Number: Email:.

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