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P&Z Case No.
Applicant b~o~;
Application for ~OR~ Chan~ (PLEA~ PRINT OR TYPE)
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Date Received
Phone
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This proper.ty 'WaS conveyed to the owner by deed dated
..A1TDrecorded Vol. Page of the Brazos: County. Deed Records.
Description: Lotr;1fJ11 Block tJ~ Subdivision tu- C,' &Y6~
(Plat recorded in Vol. Page of the Deed Records of Brazos County.
From:
to
Present use of property:
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Proposed use ofpropert~:
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ADDRESS
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O~ners of all property 'Within 200 feet of boundary of zone change according to present
ta.x rolls:
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ADDRESS
The applicant, has prepared this application
herein and exhibits attached hereto are trur/
If application is filed by an ag~nt, the below power of attorney statement must be
completed by. ower.
Attached: Scale sketch to 200' beyond boundaries of zone change.
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