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APPL ICANt: <br />i'R01'ERTY <br />REQUEST: <br />PLLANNiNG APPLIIAI ION U•rle. /� :�_l-_jam. <br />name �JE.•'lC ,� C-.�-�7,i.,._ PwAv• �Y-(.Mf <br />v ?• t r r� <br />address —'— <br />Interest In property (check ropriate boa): <br />owner of record O lessee, operator, manager <br />❑ contract fur doed owner ❑ avreeraent to purchase <br />O ollrei (explain) — --_—_— ---� <br />Documentary evidence of applicant's interest in the property say bl <br />required before final City actlun an this request. , <br />addres guneraL lou)� <br />c . i <br />legal owner: name/addres-- <br />present use (check appropriate lava): <br />O undeveloped d business establishment <br />1� single family dwelling O Industrial establishment <br />O duplex dwelling O apartments <br />❑ other (explain) --- <br />(exis <br />I te'r rx. rp I •_P i) <br />I hereby declare that the above statements are, Lruc. <br />FOR OFFILF USE ONLY: <br />BASE FEES* <br />subdivision, major (•.Isl1) _ <br />subdivision, minor ($75) go Y'• <br />rezoning ($50) _ <br />conditional use (S50) <br />var I duce <br />code appeal Os0) _. <br />subtutsl � S ��, <br />*Base fees In parenthesis are Me - <br />refundable. <br />Park fund dedlrat iun -_ <br />date paid <br />recelpt I _ <br />AOOlTIt:1Ial PEES <br />foi,pi.urtiownt <br />put.lir. Iw•aring <br />st:rlf, eonwitent reviews_/jjj{� <br />misrrllarwvxrt ._ _...._.... <br />subtotal II f _„ <br />TOTAL FEES 12 170,04V <br />date paid <br />retell,, r <br />