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<br />is as complete and detailed as is currently possible, to the best of my/our <br />knowledge. <br /> <br />APPLICANT <br /> <br />AGENT <br /> <br />Signature <br /> <br />Signature <br /> <br />Printed Name <br /> <br />Printed Name <br /> <br />Address <br /> <br />Address <br /> <br />Telephone Number <br /> <br />. Telephone Number <br /> <br />E-Mail Address <br /> <br />E-Mail Address <br /> <br />Exhibit 5: Manufactured Dwelling Park <br />Closure Permit Application <br /> <br />Page 2 of2 <br />