Laserfiche WebLink
PLA11NINw API'I.ILA7IUN <br />APPLICAW: nano: _ 1 ,. �, .... phony-7pR/- y8%? <br />address ,tSl o Yfa rt iw;Ct� <br />Interesl in property (rheek appropriate Lot) <br />❑ owner of record n ter,:re, ,q,vratur, raanayer <br />❑ contract fur deed owner I:1 iiwev..a'nt Ili- purchase <br />❑ ether (explain) <br />DocummfItary evidence of applir.:lnt', ins: n•,! In the property n;ay be <br />required b0ture lira) city ad ion un !bi•. rr,p,c%t. <br />�Fv`n <br />legal uwner. rldme/addiv,,. <br />present use (cheek appropriate iwA); <br />n unde•velt,ped <br />n L1:•.'ur.. •. <br />re l;;:rl i5!e•ait <br />❑ single family Jwelliw, <br />Li ind;r•; 'a! <br />r; ablisimlent <br />fJ duplex dwailfr„ <br />L:1 <br />❑ other (explain) <br />_ <br />rfpJEST: (explain) <br />I hereby declare that the above statements, <br />arc true. <br />-----75791141tureT <br />— <br />FOR OFFICE. USE ONLY: <br />BASF. FEES* <br />subdivision, major <br />($150) <br />subdivision, 1111f1u1' <br />($%j) »•~—_»» <br />rezoning <br />($50)a:od_ <br />conditional use <br />($50) <br />variance <br />($5U) <br />code appeal <br />($5U) <br />suhtutal <br />a.0O <br />*Base fees In parcrlthv••is <br />aft, rn.n.. <br />refuuJable. <br />Pdrl: fund dvdiraliun <br />dale 11:141 <br />rcl.eipt i- <br />ADDIIICNAL FEES <br />l vapport iunment -_- — <br />1,ub1it. lir:uint ,IGtires _ <br />siafl', cr.:.r;alt:,nt reviews �1,Qo•oO <br />1e1AL EELS ��:00 <br />�11? f.,lid rj-v-BS <br />