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~ ~ <br />~..0$$0~ ~~~~.t~~, ~~~-~'iE?Spp~~~#~ PAID _ZOo ~ - <br />/'1~f ~~~~~~~~ ~~~iV~ Rec. i11o.__._. .-. <br />_.____ Comprehensive Plan Amendment Conditional Use Permit <br />Zoning Disvict Amendmern _.~._..._ Variance <br />Text Amendment Subdivision <br />Other ~ Planned Unit Developrneni <br />___._ Plan Review <br />l~pplicant_'ti.JJ'_''~_~Q~..~'~,~:'~".l.C)`i-~i.~_. 7S ~~IIU (s' ~JP ~.._~C'~_~UiS~`~~y-J~G~J.`, <br />INamei (Address) C,1 j "fZK CC7f/At7A {Phone) <br />py _ t1 <br />Owner _~ ~~._LJG_t-cy_.S~pnS"fYucfi~i.f~.:_c~.:._.~Y, _ _ <br />(Name) IAddress) ~~ !Phone; <br />property Location (Street Address and Leyal Descriptlonl: <br />Descrip*.ion andior Reason for Request (Cite Ordinance Sections): <br />- - .. - ---- --- / _ . 3 <br />!n signing this aoGlication, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zorn <br />i::g and Subdivision Ordinances and current administrative procedures. 1 further acknowledg^_ the fee explanation as outlined <br />in the appficatlon procedures and hereby agree to Gay all statements received from the City pertaining to additional applica <br />tion exponse. <br />S~ynature cf Applicant! (Date1 <br />.~... ;'E-Cftita C.:Ua RY-w:IIOmer P; `dK-f Bfl GOLD^A~:nnxr ,t~..ro <br />Page 5 <br />