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APPLICATION FOR CONDITIONAL USE PERMIT
Multifamily residential project
V Other - spec i fy
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p&Z Case Number
Date received
Appl icant t)v'~ kar/trv7 ,A i IIClt-J.~/
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Phone "7'79"- '763/
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Location of project
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Present use of property R..e:? iolct-,ha! ft-ap-e lr/-y (S1('vfL.e r~~ lyJ
Owners of property within 200 feet of all property lines of subject property according
to present tax rolls: (to be obtained from .Cqllege Station Tax Office)
Name:
Address:
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Attach additional sheets if necessary
Application Fee:
Initials of Tax Assessor or clerk
The applicant certifies that the above informatioh to
Signature 0
and correct.
If application is filed by an agent, a power of attorney
be included.