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APPLICATION. FOR CONDITIONAL USE PERL"IIT
Multifamily residential project
Other - specify SOUbRJiy .Hol($e'V~I.\\(1&' (v\UWJON 'UR(VA
P&Z Case No.
Date Received
App 1 icant rn ~ ~ c. ~ I. Tot", ·
Address /!:>u'f. Lf( u~ 1S,e vI? w. -, ~. 7');r t) I
Owner I(.D. fJ1AR.f( II Address
Phone 7 ?9-; I 3 3 J
Location of project .. (J1l,.{JI)J,)}tJ A 1I..-t.
Present use of property
<hmers of property witqin 200 f~et of all property lines of subject property
according to present tax rolls:
Name: Address:
ON
\L.
Applicatia~ Fee:
ILf ') · h)
The applicant certifies the above information to be true and correct~
IlP;lt0V/<qjW~ .
Signa~ure ofapp.licant". owner, or agent
If applicant is filed by an agent) a power of attorney statement must be included.