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Comprehensive Plan-Amendment X Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant ~~T" y%"'IIO~j Z.Sgd G/J6~RToN $T~ ~~.s''~~773-~/~1 <br />(Name) (Address) (Phone) <br />Owner <br />(Name) (Address) (Phone) <br />Property. Location (Street Address and Legal Description): <br />~,~ ~~~T©~ Ste' <br />Description and/or Reason fbr Request-(Cite Ordinance Sections): <br />._ ___ <br />~u'G. <br /> <br />~fl"vim Y~.tI.D <br />G Qj U i~ !H P7JT <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 ~ application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. ~ <br />`~r~~~ f- .~-v~~ <br />(Signature of Applicant) (Dare) <br />IVHITE-Office CANARY-Curtomer PINK-Fi le GOLD-Planner .-,.aim <br />