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  1. Questions/Comments
  2. By checking this box, I hereby certify that all the above information is true and correct.*
  3. NOTE

    Upon submission of this application, I am asserting that I am the owner of the property listed above. If, for any reason, your proposal changes, please submit a revised Notice of Conveyance to our department for review.

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  5. This field is not part of the form submission.