HomeMy WebLinkAbout03 1871 Larpenteur PUD application 09_0903SEP 0 3 2009 Action Requested By: n Name of Property Owner ????????????????????????????Can,±rudrdY1 ??????????????????????1 Ioc. Phone (h) (w) ????????????????????????????????????????????????????????
?????????????????????????????????????????????????????????___ Address of Property Owner I????????I a.l.j2e..Ll:k: u r thte-. Name of Applicant (if different) lh \ J GMlGa me y Address
Phone fa (2--Coc,q ????????????I Property Involved: Address I fl Property Identification Number (PIN) ____________________ Present Use of Property (check one): o Single Family Dwelling
o Business/Commercial o DuplexfTwo Family Dwelling o Government/Institutional o Multi Family Complex o Vacant Land Action Requested (NON-REFUNDABLE): o Variance ($100.00) o Lot Split
($250.00) o Conditional Use Permit ($165.00) o Site Plan Review ($100.00) o Rezoning ($500.00) )!j Other (Please Specify) pUD Brief Summary of Request (applicant may submit letter to
Planning Commission with deta,ils of request): .. Plan ????????????????????????????a __I1?p/Pe unci-Cf<';ichd71J.. ????????????????????????????????????????????????????????????????????????d-o
I statements on this application are tr nd correct: /1" ????????????????Signature f 'Applicant (if applicable S:\FORMS\Zoning and Building Forms\PLANNING APPLICATION.doc 3/29/2005