HomeMy WebLinkAboutApplication('11 -Vol, C'()1 I 14A, ';TATII)Nl
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NORTHGATE
BUILDING REVIEW APPLICATION
MINIMUM SUBMITTAL REQUIREMENTS
Application completed in full.
V�e$200.00 Special District Application fee
en (10) folded copies of facade details with dimensions
A...Acolor and material samples
Date of Preapplication Conference:
NAME OFBUSINESS Af' -rLj-ror,'
ADDRESS 311 Cc -OCC AVC- colte-tie !SrcA:---ro,/\j--rx 7784,o
LEGAL DESCRIPTIO
PRESENT USE OF PROPERTY A 0,', r S C 0 vA
PROPOSED USE OF PROPERTY ctoss rcom �or
APPLICANT'S INFORMATION:
Name l4ass, ,
Street Address 65Q6 /4 c,—Pi�✓r Gtr
?bf \1 mv-\ State -r)( Zip Code 7790"
E -Mail Address ci,5
Phone Number q71- Z6o--266c) Fax Number
Name COIN-PPel -Fc,-',I:j LA
Street Address 1700 (xec),,Se_ Paj!Sv-\ Ovri,/e- Fcs-r -jtz-l10
ZipCode
C�"r 0,11 State T)( '17940
City 5,--r — —
E -Mail Address
Phone Number c17q - bq4-44 Fax Number
Page 1 of 2
DESCRIPTION OF PROPOSED EXTERIOR CHANGES Rccles,lv\ U(o-de-
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cc,10/- ,D
1 -610 -r -K r -ox 70.20
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ALL
The applicant has prepared this application and certifies that the facts stated herein and exhibits attached
hereto are true and correct.
Signature ofQmm*��, Agent or Applicant
ll -l3 -Ott
Date
Page 2 of 2