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Lit^^tl~ ~~n~da, fVBinnes®qta <br />i"A~~~~~~ 1 ~®I~d ~~~19i9 <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />.~.~~ 960 <br />PAID ~'~ ~- ~rC)t_~.? <br />Rec. No. <br />Conditional Use Permit <br />- Variance ~~C j 6 ZQOz <br />Subdivision ~~ITIG,!-Lt1'f'L( Cad[~~,D~ <br />Planned Unit Development <br />Plan Review <br />Applicant L.Art~)`41!r'~ <br />(Name) <br />OwnerLti~<°~~ '11~i~k <br />(Name) <br />(Address) '~~j t Of~U~ (Phone) iy\I•-( ~Tt ~~,( <br />1i1~~ 1 - ~ °~~ ~ C~ ~V ~j(<> ~ `LOiZ..' 31n J ~ • 4~ I'--V. <br />ltlatti( PIC.gA~dr~ssl ~i1i,-~ <br />Property Location (Street Address and Legal Description): '~~~~- <br /> <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />(Phone <br />c~~'L~ r:v~GQ - lie's[! ~ ) <br />c~ <br />!n signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />~ng and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />n th^ application procedures and hereby agree to pay all statements recewed from the City pertaining to additional applica- <br />:ior dense. <br />`... <br />!(Signature of Applicant) (Date) <br />VHIT6 -Office CANARY-Customer PINK-file GOLD-Planner <br />a~~~.',(a.n7il <br />