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LE 1-LL -: C N/AVj /-a, �`�ttU \j\!LbU_tiA �l <br />AC�(-LICAI ION FORT 1 PAID✓` —O <br />REC.NO. <br />Comprehensive Plan Amendment <br />X-Condit;ono' Use Permit <br />Zoning District Amendment Variance <br />Text Amend -rent <br />Subdivision <br />Planned Unit Development <br />Plan Review 0 <br />Appficont i c 0.5 R. tuc& as yo g �� S oh 5f /,; beeafiada `1Qy 6 3b <br />(Nome) (Address)T (Phone) <br />Owner <br />_ D O L \is Soy rtio_k;c c4 L%W Le' Egrt4oc.— yet/ -DoC <br />• (Addres:0 (Pnone) <br />Froperty Location (Street Address and Lear)! Description): <br />�1 <br />LASE . \mimovn* )4U2 <br />1 ± .,, Lc, d_6? inn sir <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />In signing this opplication, I hereby acknowledge that I have read and fully understand the <br />applicable provisions of the Zoning and Subdivision Ordinances and current administrative_ <br />procedures_ , I further ocknc.wtedge the fee exptonation as outlined in the application <br />procedures and hereby agree to pay all statements received from the City pertaining to <br />additional application expense_ <br />(Please af Inc <br />2 nature of Applicant) V /� • <br />OOZG <br />Clerk's exhibit no. <br />entation and plans) Harting-2_8_7g <br />