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---x:21 <br /> g EC~6 ~ PAID CJ <br /> Rec. No. <br /> Comprehensive Plan Amendment Conditional Use Permit <br /> Zoning District Amendment Variance <br /> Tert Amendment Subdivision <br /> Other ~ Planned Unit Development <br /> Plan Review <br /> Applicant ~ ~I~.u/~~ E~ (~C"y~ Ca ° %f~~ ~ ~ ~ <br /> (Name) (Addr s) • ~ ,,1 (Phone) ~ , <br /> Owner / Q C,~. `M~, <br /> aK <br /> (Name) (Address) (Phone) <br /> Property Location (Street Address and Legal Description): <br /> ~j { !i <br /> _ ~ _ / <br /> c:~ Cdr ~ \ 1. 1~~ f 6 3 i~ `c`y ~r~/ U ~ ~~1r~/ /l <br /> l r / + <br /> Desa•iption and/or- Reason for Request (Cite Ordinance Sections): <br /> C~ <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 /> tion expense. <br /> f <br /> (Sit nat~c~~f Ppplic~i~i) ~ ~ - Dat ) <br /> <br /> WHITC--04fico CANkR1'-Cutt~omer PINK-FIIG- GOLD-Planner )~~Cv~'t,'> r\~~~'~ F ~~t ~ ~/U ~'t ~~--ono <br /> <br />