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Application for Zone Change (PLEASE,PRINT OR TYPE)
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This property was conveyed to the O1.mer by deed dated '" · -s v.\ ~ . \~~ ~-
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(Plat recorded in Vol. Page of the Deed ecords of Brazos County~ ~
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Applicant
Date Received
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Proposed use of propert~:
Present use of property:
Owners of property to be rezoned:
NAME ADDRESS
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Owners o:r all property within 200 feet of, boundary of zonecha.nge accor'ding to present
tax rolls:
NAME: ADDRESS
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The applicant has prepared .thisapplication and certifies that1 the facts stated ".--...~
herein and eXhibits attached hereto are true and correct.
If application is filed by an a:g~nt, the below power of att'orney 'statement must be
completed by.o'W11er.
Attached: Scale sketch to 200 t beyond boundaries of zone change.
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