Laserfiche WebLink
PLANNING APPI,ICATIpN <br /> APPLICANT: (Z, a fr-c-1 <br /> • fi.a <br /> ADDRESS: ( 0 Phone <br /> Street Address, City, State, and Z Co ` '�' ' <br /> Interest in Prope P Code t. �� S,S'( � _� <br /> nY�(af�eck appropriate box): <br /> Owner of Property <br /> ❑ Contract for Deed Owner <br /> ❑ Lessee, Operator, Manager <br /> ❑ <br /> Agreement to PurchaSe <br /> Other (explain) <br /> Documentary evidence of applicant's <br /> interest in the property may be required before fie!City action of <br /> PROPERTY INVOLVED: <br /> /Ge <br /> Address this request <br /> nera) Location , Y 9 <br /> -SCnpfj0n or Property Identification Number <br /> 0 " <br /> Legal O�er: Name/Address Ga, 3 -z 3 - t z- C S-) _ 6 2/ <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> ❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Muiti-Family (No, of Units <br /> ( - Business/Commercial <br /> ❑ Industrial Establish me i <br /> Establishment <br /> ❑ Other <br /> (explain) .. <br /> Property Classification: <br /> 0 Abstract <br /> REQUEST: Q�Tornens <br /> �A , - AII,Girs.i1L -4714 et:" <br /> ' moi11111111 <br /> " i.4. . IP.• / - <br /> 1. <br /> "Please note: <br /> Applicant may be responsible for additional <br /> I HEREBY DEC fees associated With <br /> DECLARE THAT THE ABOVEthe review of this request <br /> STATEMENT ARE TAUS <br /> * }U <br /> **** Signature <br /> /acts,/TijnYT1 ********!***** <br /> R-1$200/A-2-575.ail '•, maximum$1.000 Park ****************:******* <br /> �..- .....-TI .. A-1 to R-2-575. eU 5200 Fund Dedicates Fee <br /> Develop./Site Plan Review 575 all ott> � Dere Paid <br /> Minor Subdivision �v 51 /sae,minimum ''`' Receipt Herber <br /> Major Subdivision <br /> $150 um 100,maw�� Date <br /> F Paid <br /> C"P Plan Amendment 5200 Plus 5250 deposit Date Pati 1t�'DO CO <br /> �w Alteration mPermit SS5O plus deposit determined by Ste <br /> Number <br /> ��'sj�� <br /> Puo'g s.°n $50 '�dd�°"a'F..Paid <br /> �1�6F <br /> PUD Amendment $350 I 0 <br /> Dam Paid <br /> $150 Fleceipt Nanber <br /> • <br /> °°'' g-"7` - A Data <br /> o final actio" <br /> Planning Gee No. vED 0 DE0, aar.D <br />