Laserfiche WebLink
{ � l E��� i i�' X1{, r y��. _ ' . <br />t S <� <br />�! Ih � s I � <br />. � t <br />�C's�� of l�ounds �eew,1�1 -- - — — ` <br />lDevelopment t�ppiicafion g���e � <br />. Present Use of Properly <br />� Undeveloped/Vacant <br />❑ Duplex/Two Family Dwelling <br />❑ Business/Commercial Establishment <br />❑ Other (explain) <br />Properly Classification <br />Descrip�ion of <br />❑ Abstract <br />�/t r� q nct <br />❑ SingIe Family Dwelling <br />❑ Multi-family Dwelling <br />Q Tndustrial Establishment <br />❑ Torrens <br />.� / <br />��, /'n � U � : C� '� <br />r Str�� �t�- <br />S"� 7' � ciG jC �rv �^� <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, I HEREBY DECLARE THAT, TO THE BEST OF MY <br />KNOWLEDGE, TF-iE INFORMATION PROVIDED IS TRUE AND ACCURATE. - <br />'1 � l) \ <br />� �? <br />/• ,::::�, � <br />Signature of Applicant �-r.�}� - ` �i(,L ---�_ ,:, � J ,� <br />Name of Applicant (typed/printed) �'e�1C er- l�l r'S � �S l�� <br />Signature of Property Owner <br />Name of Property Owner (typed/printed) <br />Address of Owner <br />Phone Number of Owner <br />r <br />C-� �Gc`� �%.C% � <br />- S'�th�� �- � rsf-� lSk� <br />�T y� ,_ 1 ct G !S�'G ,'1 �i' _ �7�i ,J L � <br />/°Lb �.n� f V ��' c,� , %%li,� .�.�(/ Z <br />�� rz) 9�7 — 7Zi� <br />***********************�******************************************��**************************** <br />FOR OFFICE USE ONLY <br />Date of Submittal ��-� S` �1 �'1 <br />Date of Acceptance Assigned to: _ <br />Planning Case No. ��-� -�� 60-day Limit ( 20-day limit _ <br />Fees Paid: Account # Check # <br />Application: -�' I o�.5 J o o � 3 �'f-lsi� _S9 LI-ol <br />Park Dedication: <br />Deposits: <br />Other; <br />Totat: <br />Receipt <br />N:IDATA\GROUPS\COMDE'V�FORMS�DEVAPP.FOR 1/98 <br />