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{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
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Property Owner Details
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Applicant Signature
By signing below, I the owner certify that all of the information provided in this application is true and accurate. I certify that this dwelling and all other structures on the property meet the zoning requirements of Eastampton Township I attest to the fact that no rubbish/debris/bulk garbage will be left on this property prior to new occupancy. I understand that failure to comply will result in retraction of the CCO and a summons will be issued. I understand that this applies to all properties that fall within Eastampton Township.
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12 Manor House Court
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{[CNAME]}
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{[PNAME]}
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Eastampton, NJ 08060
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