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~~ ..... <br /> <br /> <br />® <br />® <br />~ ~ ~c ~hvtiurt <br />~,~~fitl~ Canada, N9ir~r~e; <br />A~F'~I.~I~AT'I®N FC~~ <br />._...__ Comprehensive Plan Amendment <br />_-__.,.._.,.__ Zoning Disirict Amendment <br />__.._ Text Arendment <br />._._-.._-._ Other <br />i <br />Applicant "~!1~f,T~_t_~r~=~_~Y~~~~j~iiC I~!i .j_11~1i~° <br />(Name) <br />Jwner (...~~lli`>- 't i..:i~~!'i L!_' l;_i_~M! ...~ ~~~'~~_-'' <br />(Nama) <br />'ioperty Location (Street Address and Legal Description) <br />~. 1 <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />~, <br />~ I r::. <br />__.____- <br />rHx ivu, bb14844538 <br />a <br />P, 01 <br />~T~..- - <br />Rec, Nc. <br />~_- Conditional Use Permit <br />_.~ Variance <br />___._ Subdivision <br />_____ Planned Unit Developmf;nt <br />___.,___ Plan Review - -,. - <br />l ,j <br />s) ~Sy~~ ik hone) <br />~ ,-, <br />li ` <br />s) (phone) <br />In signing this application, I hereby acknowledye that I have read and fully understand the applicab~e provisions of the Zon- <br />ing . ~d Subdivision Ordinances and current adrtiinistrative procedures. I further acknowledge Yho fee explanation as outlined <br />in application procedures and hereby agree to pay all siatepasnts~recei'ad from the City pertaining to additional applica- <br />tion expense. ~ ' I u <br />/ ° I~ ~ ~ ~,~ ~ ~ ~ `" .-mil <br />„ ~, <br />"~ - - ' <br />(Signatw~e of Aplplicant) {Date) ' <br />~•~~"~•~ ~.~..-- ^nnin av_r:,o~nmor PINK-File GO ~D-Plpnner I ~~~ <br />