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APPLICATION FOR CONDITIONJ\L USE PERMIT
Multifamily residential project
Other - specify
College Hills Missionary Baptist Church
p&Z Case Number
Date received
Applicant
same C-A.G. Searcy, Chrm. bldg. comm .) Phone
846-5959 church
693-0283 home Searcy
Address
706 Churchill
Owner
.same
Address
same
Location of project
706 Chu rchi 11
Present. use of property
church
Owners of property within 200 feet of all property lines of subj.ect property according
to present tax rolls: (to be obtained from College Station Tax Office)
Name:
Address:
S E,E, ATTACHED LIST
Attach additional sheets if necessa
Application Fee: ~~ ..~ \~~~
.Initials of Tax Assessor or clerk
The app 1 i cant cert i f i es .that the above
and correct.
Signature of applicant, owner, or agent
A.G. Searcy, . Chairman Bldg. ComtYlittee
t
If application is filed by/an agent> apo\ver of attorney statement must be included.