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APPLICATION FOR CONDITIONAL USE PERMIT
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"'y residenticl1 project
v'" Other -- spec ify
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P&Z.. ..Case
Daterece i ved
App 1 ican t _~72t~ //7 ~_/JAV
Address JLO :j.....(1;;;}4~/Jl/?-
Phone & ?~- 7'7"/6.-
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Owner'
Address
location of project !/(J$~/}+p~~lfJ/)< ~Ij~..,j/4;6~
Present. use()fproperty fl'p-4--L~ ~d ..~r!t1/LL,-
Owners of property \."ithin 200 feet of all property lines of subject property according
to present tax....rolls:. (to be obtained from College Station Tax Office)
Name:
Address:
Attach ....addr.ti.QnaJ
necessary
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tTfi esthat the above informat ion to-be true and correct.
,
owner, or agent
If applicati.on is fil.ed by_aD .agent, a .PQ\~er ofattqrneystatement must be included.