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HomeMy WebLinkAboutPermit Miscellaneous 1983-10-17 FILE NO /c?S/'-c?3 ~ GENERAL LAND USE APPLICATION H.O. APPROVAL DIRECTOR APPROVAL Zone Change Partition Prellmlnary Final Subdivision Prellmlnary Final Cluster Subdivlslon' Preliminary Flnal Cond, Use Permlt Greenway Dev PeTIll1t Temporary Use Permlt Speclal Use Permit ~iance Site Review Special Exception Hazard Check List Site Investigatlon Report Special Use Permit Planned Unit Development Prellminary Flnal PLANNING COMMISSION Request for Interpretatlon FEE PAID\\\~S&. COMBINATION FEE (Appllcant's opt lon-highest addltlonal appllcation). DATE SUBMITTED .1D\11 \ ~3 DATE RECEIVED \ 'i:)\\"h\'r3 fee plus $25,00 for each I, APPLICANT AND OWNERSHIP IDENTIFICATION Malling Address SlE(JIJq~ 'ZZ1fC1 ~t-vw- Sc...I+-PtCI-\\\.I\=R Phone 14-1- 0 (, ~ ('~,hJ& Cf1tf77 ~C1ty J Zlp ~ Contract Purchaser Lessee (?L " , I Name of Appllcant Street 2 Legal Interest - Titleholder Other 3, S1gnatures 1" \0. ~ I (we) have completed all the attached appllcatlon requlrements and certlfy that all statements are true and accurate to the best of my (our) knowledge and belief I (we) am also authorized to submlt this application as evidenced by the signature" of the owner below, Owner's Slgnature ,~ ~J-LO Date 120vt83 Agent's Signature Date Agent's Address Phone Zip II, PROPERTY LOCATION , Assessor's Map 17 -0:"-, - 2~_ ~7. ~^^ ~o...v.... Property Address ~~ieD-.lA. . Place_ Tax Lot ,:,<IC)(') Tax Code jCJ--o."-\ SOrlrv.Jldn ., (')r~ CJ7tT I (J.... ',' Sue I ~ '8-4 Ci. a..c.. . Road Status - State____County Rd ~ublic Rd, Easement Abuttlng Property Owned Map ~ (acreage) Tax Lot (s) Present Use 0_';1 clt'fI+;r~\ Present Zonlng ~ Structures hDl<:".e . <;('(\01 \ s~ Water Supply - PubllC ~ Onslte Wells Community Water System If Communlty Water System, please 11St name Sewage - PubllC System (list name) Communlty System ~llst name) SCHEDULING Indlvidual Onslte ~ , . Hrg Date ~eport -'Av~ilable "