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,~ <br /> <br />I/~~` <br />~ ~~ <br />PAID -~'_s112d <br />~~~~~1,7,~"1~~~ ~~~ Rec. No. <br />Comprehensive Plan Amendment ,,~ Conditional Use Permit <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant K . L1.crc.tiel ~!o ~ yt.S~or1 Z,'~3 0 ~c~ cv-~u-~ 5~ (oS L ''Q~Z ; 1 X13 S <br />lName) (Address) (Phone) <br />Owner <br />(Name] <br />Property location (street Address and Legat Descriptionl: <br />~~ <br />(Address) <br />(Phone) <br />2 g 3~ ~ d g e~-EaT ~ 5~ ~ l.. i lk1(~ ~A.hadrx ~ YY1 N S S 1 l~' <br />1~ u,r~~t~r's S .1~ ~J~s~ 1Jo ~3 S tao o~ 'N 2351 ~i ok' yJ X72 g/~n F7 ~+' ~ 1. <br />Description and/or Reason for Request (Cite Ordinance Sections): ~~~L .aG~ /~ <br />4yWS 2rL7~1 ~~~' 'sh41A~.e~ ~QL tone-,h tk~ru n,S 1~, 6S 0. (.pw1rV~GVI 1'C'a-IGL Cw~II~ <br />J <br />4S <br />In signing this application, I hereby acknowledge that I have rea~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 />he application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />i..,n expense. <br />(Signatur- e of~ pIi' nt~ (Date) <br />WHITE-Office CANARY-Customer PINK-File GOLD-Planner <br />a, ie <br />