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HomeMy WebLinkAboutPermit Miscellaneous 1984-1-23 (2) r"'~~._1'1;..r ""~~~'~"'<1.; .'~~,..J ~~ -~.:;:::-~--~- ;-~;;.,.;. , lq;;-' ,.' rfJ~ ~~Y:~4- ~ ~_'/'-'~.r ~-~( ;~r-,,_~;~-:' t-- '-;{T:; -:C~;PROJEGT :. '.CHANGE R'EQUEST ~, :;: ',r' ,<' .\''j""-;,,g\ "Y'(\;,'i(I "\;,::?f~F '~--. Iqp.ffCounti' ~, ~l" : ;-."'" - .. . .""..""". .~ :.." ' ,~ )'c""i ,L'<()f~rce:-,ij seuijniy;':::-'''.''\ s,..c...., , ""~ __. .. I .'. ' Cont~ol-NO. {b.'.' ';, Rece~ved by: ' f . SPECIFIC R:R~O'PE'RTY " / '"l. .~ . " ~ .Date: II ~ '" . ''"~..' ,. ~,' '- . >" .... . . . . .- , . ..... ~ -. . '. ., _'.' ..,". I" ...11.:' .... -, ;' "."" ,...., " . Applicant Information ., " . ,-- ,., '. ' ,.., _' ',:7 " . .~ 'l.G?ete44-;1?i rp!p._?jiPk.fiflttl~J?d-2ftJ1t7(J,.: (Name-Please Pr'i~t) ,L ., I., (Maillnll Addrem ... rCltY},' (Zip :Code~ .. 2., Property for ~~riCh change..j s reques tjJ.6 ,use separate fo.no for 17 PrOp?, ~tyorrroups ~,c~n~,~ous properties:>: MAP IJJ--. D;Z~/c ,'TAX LOT(S) ;5eP-, ~4'f !te/1..f1-d' .l;t~ I, ~ 3. PROPOSED PLAN DES I GNAT ION, REQUESTED PLAN DES I GtJATlON '4..PROPOSED ZONING --F?-- , ' . ,REQUESTm ZONING . " , . 5. ' Reason for request. Please refer.to infonlliltion shpet.' If the change requires an exception .to Sta'tc Plannin!1 ' J];~d, ' "'?'Pfj2,t 'fi"';:;S'"'' ~:ad i;;:'Z',"" j:;~b.toC,i~O(!~Vl@ biz: ...p~,-::;&4(J .l?"2-..w /Crt JoaRS'~Qr .. .. ." Jur'P'J1'Oo:<::....o.- .:'qll;"o ,--~A ,', "n ~'~' ; 'c--.' '" b",;~ ',. ~,., ",' ' ~''\.- "'t - '- --1. 't. ~~--7- --- --!:'")- ,-- ., '. Ql'r-/<r/"~ ~~12 M . /,Lq;/t.l-r--: .... r 6~~~ :;;~L:l- -> J ,'::= io'",,' iri',coP"'yOCfJ/!JEP'" ',. ..t/: 0.s1~n~.tu"re '.,', ",. ,.' ", ", ':''': ff, "; ., . -. , "." ....:..,...."--j~=.. '\ 7. . DEPARTMENT COMMENTS : ,; 8. . PLA~iN INGCDr-1MI SS ION ACT ION: 0 APPROVED .REMARKS: ._..__..._ n '.. . 0 DENIED , DATE .... .~.. .'-" ," . , , _._-------_._--------~_.,'- , " 9. B.OARD OF COMr~ISS lONERS ACi rON:O APPROVEO REMARKS: --,._-- o DENIED DATE . " . "'~'-" -----.----.------.-- -.. ---~_.-. ----_..-..:-~_._--- ...-.-----.---...---.-----.-- -.--~,.-----____."__.__. ___._..__. '_"no_ .._ ..,_~~_._._._____._~____.___...~.... _' ...~__ .__._._....'___. \ Lalle County ~i~l.not b,>,li>lc tOliotify jail of the'olltcollle. ofyoilr request. Accordingly it will be your responsIbIlity to fIlUO\~'t.he proccedilllj::, to l(:<lrn whdtaction was taken thereon. If you have <lny. ques tions dbout thi:, rhlul'st pll'a',l' phoill' 681-,11iHi illld ask to spcak tv sOlllrone on the CPR I'IWJECT TEAM.. ,. ' ," . ,..:.". .,......-.~! .' Rt:lturn completed. forllls t.u: "11" CI'R I'RUJr.Cr, Ilcpartlflcnl of Planning and COllllllunity'Developlllcnt 1-25 EiJs,t 8th Avcnue . [uqrlle, OR 97~OI