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06/93/1998 89:58 905-9453737 KOBI KARP ARCHITECTS PAGE 12 <br /> Page 3 <br /> If any contingency clause or contract terms involve additional parties <br /> list all individuals or officers, if a corporation, partnership, or trust <br /> IMMIMMOMMUMOW <br /> ?'or any changes of ownership or changes in contracts fo; purchaa <br /> subsequent to the date of the application, but prior to the date of fine <br /> public hearing, a supplemental disclosure of interest shall be filed. <br /> The above is a full disclosure of all parties of interest in the <br /> application to the best of my knowledge and belief. <br /> • <br /> • <br /> Signature: A` 4s !.!/ <br /> (Applicant) _ 7 i. <br /> • <br /> Sworn to and subscribed `efore me, <br /> this � day o _ J ' , 19 g <br /> (SEAL) <br /> TRACY DYE <br /> otary Pubaiq; to -•f deride at Large �M�" MYCOMMISSIONICC42.629 <br /> ��. WIRES:December 11,SS <br /> unarm Nor Put&� IOen <br /> My commission Expires: ) Z- 11......401 ( <br /> Disclosure shell not be required of any entity, the equity intaarests i <br /> which are regularly traded on an established securities market in t). <br /> United States or other Country; or of any entity, the ownerhip intlsrests c <br /> which are held in_ a limited partnership consisting of more tlan 5,OC <br /> separate interests and where no one person or entity holds moee than <br /> total of 5% of the ownership interest in the limited partnership. <br /> L00 d 1V '13 '9113011S 'NIZ1Ifl 32:6I (03M)86 ,20- 'Nf1P <br />