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. <br /> 1 ® r~~ye~ r~ A~ ~qp~® r~ 1V"~' ~2Q~ <br /> ~'LL®~i®~G/t~e1l/C~~G~~ p1~Y1I111I~iSp®~~G. PAID <br /> AI-I-LIV/"~TI®IV ~~IVO Rec. No. <br /> Comprehensive Plan Amendment ~ Conditional Use Permit <br /> Zoning District Amendment Variance <br /> Text Amendment Subdivision <br /> Other Planned Unit Development <br /> Plan Review <br /> / /(o~(-x'73 ~''0"7'~ <br /> Applicant 3~~C~ (?`lam t <br /> ~~2~liLz~ ~Y~Q Llr L ~Jp~L'(?u~j <br /> ~'~V'1~~~~ I~f27'L~ l-+G,G~l~~1./) G21G`~ <br /> (Name) (Address) (Phone) ' S~!(~ <br /> Owner <br /> (Name) (Address) (Phone) <br /> Property Location (Street Address and Legal Description): (/r f <br /> 3L1~ij L:?feli~~~V1LL-1` ~~-C~.Q1~ ~~,~~I iL `/~wiA~l,~ ~l`I~ \Sll'"1 <br /> Description and/or Reason for Request (Cite Ordinance Sections): <br /> cjot~1~~v ~y~t~(-i r1-3~v c~~~;~uf~R ~~a~~-r7~ ~~e~~~ <br /> ~h~,~~-~c~ k2~.o~0 <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 the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br /> <br /> tion expense. <br /> f, 1lJ? 2-6 (CJ <br /> (Signature o'f Applica t) Date) <br /> WHITE-Office CANARY-Customer PINK-File GOLD-Planner ~a <br /> <br />