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!) ~~ <br />PAID ~~~ <br />Rec. No <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Applicant ~~LL'V L-u~1~~ ~ ` <br />(Name) <br />Owner <br />(Name) <br />Property Location (Street Address and Legal Description): <br />?j (~L'J <br />i <br />Conditional Use Permit ~VI,L'V1~~VL'lG4'~~ <br />Variance <br />Subdivision <br />Planned Unit Development , <br />Plan Review <br />~~ ~~ <br />(Address (Phone) <br />(Address) (Phone) <br />Description and/or Reason for Request (Cite Ordinance Sections): <br /><S~~ ~~~~~c G1 <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 fee explanation as outlined <br />in 'he application procedures and hereby agree to pay all statements received from. the City pertaining to additional applica- <br />t axpense. L. _ <br />i <br />(Siynature of Appli ant) (Date) <br />WHITE-Office CANARY-~-Customer PINK-File GO LU~-Planner ~~:a,iln <br />