HomeMy WebLinkAboutApplication
\.,~J
APPLICATION FOR CONDI,TIO~IAL USE PERMIT
Multifamily residential project
2 Other -specify.JAy ~
P&Z Case No~11'
Applicant
Address
Date Received
t- 0~' ~.1 "~
Phone '779. I "3:-s /
Address~-6DK 4icXo . 'lS{ly~~. f7&Ji
Owner
Location of ~roject
Pr~sent use ofp'roperty \/ACA.~~ J
Owners of prop.erty wit~in200 feet of all property lines of subject property
according to present tax rolls:
Name: Address':
NON~
Application Fee:
~S'~
The applicant certifies the above information to be true and correct.
owner) or agent
If applicant is filed by an agent, a power of attorney statement must be included.