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0F.�IEE;Z; APFLIC:.`ION <br />_Comm: ehersi-re Plan Amendment <br />Zoni- g District Amer ddment <br />Text Amer_�er <br />Conditional Use Per:lit <br />ce <br />Vary in <br />P e. ils <br />. Trai_er Par? - . <br />Site k Bldg. Plan Revie" <br />mining Permits <br />Applicant ems: <br />Name <br />MIX <br />Simmle Lot Division <br />Large Lot Sub vision <br />Subdivision <br />_P relimina r y <br />Final <br />Subdivision Var=aztce <br />Flood Plain Conditional Use <br />Permit <br />Shoreland Per.=t <br />planned Unit De-ielopment <br />•77:�A,i -::;- . 6-- -� <br />,ens 4. ,�,r tau L • Phone <br />Owner • �; rw � I 'S <br />o F .7u.� �rll�.� ° 7 <br />Name` Address phone) <br />property location (St:•eet ,;.ddress and Legal Description): <br />— - . � .n�, _ ��._ �._ ���-rl•--� ���kT�v4.'1 ��0 �Q� �iLF�� OF <br />Desc;;p;,ion arsi/or Reason for Request (Cite Ordinance Section) : "for. <br />Sv.0 J �..,, '�-� .iJ �S �c ...rr.�. '(-Vw�' �.�_ 5 e ...'c�.•. � coQtc� � i r� ...� o�g C.� oS �c � o '��^� <br />_ V �'�-- ��1' � 2. V.➢-�T� �-' °� �S� �� " 0.t � GYM �- � \ "'� . A <br />3 o t 7o - D -3 c.. under— <br />knowledgein 51gn�-lg this application, I hereby acthat I have read ark �-L'1 <br />stand the anoLcable provisions of the Zoning arsi Subdivision Ordinances and Cur -ems <br />adn:.:sist alive procec.ures. I furl -her acknowledge the fee explanation as outlined in <br />the ano? ication proc;.dut'es arsi hereby agree to pay Al' statements received from the <br />Cit:• pertai.n:..ng to a<°di.tion application expense. <br />