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N..1~'~I~', t.d'SAI l~.tl.lf..~,g 1~/1~~7 i6,r~tdl~Sx PAID~S~~ <br />AP~LI~~,~Tlt~l~ FOF~~/] Rec. N4. _ _ <br />Comprehensive Plan Amendment Conditional Use Permit <br />coning District Amendment <br />Text Amendment <br />Other <br />Applicant <br />Owner _ <br />~-~ {~ i 2 iwr L ('~-e <br />~~rrt C~ ~2 <br />(Name) <br />(Name) <br />Variance <br />-.._..._ Subdivision <br />___~ Planned Unit <br />~~~-~SS/dit~c, ~S <br />_ Plan Review <br />emu,, 1'/'edi t' bi,iS thtSS <br />--- o? ~ 3 N i~-~-o>ti I r K ~_ l~ Ve <br />(Address) <br />t-~vr+e <br />-~. r 50 7 G4-~d-~N U (s ~~ Cf <br />Development ~~l~-~~~ <br />~~ <br />,~-t~Se v r ~~~ <br />Sfe 3l~ 5/~(~;~S~-17~~ <br />_ ~ __ <br />(Phone) <br />~~ l (i~ ~In - 7 r~,-Y <br />(Address) <br />Property Location (Street Address and Legal Description): <br /> <br />~'L' C- 2 N tiCi ~( <br />lPhone) <br />CAP psi d3~~ y~-~~ <br />7 l~~DC+_ ~ <br />D~` <br />r~ , <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />S <br /> <br />in signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administrative procedures_ I further acknowledge the fet explanation as outlined <br />n *' application procedures and hereby agree to pay all statements received from the City pertaining to additional applica• <br />iio, ~pense. <br />(=ignature of Applicant) ~ (bate) <br />1~NIT'c-rJfFi ce CANAFi Y~.. p,;.ro mnr PI IJ K-File GOi_D-P•~anrrer «~~ h. <br />