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APPL1CATION FOR CONDITIONAL USE PERMIT
Hultifamily residential project
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Applicant
Address
Owner ~ .L- .
Locat i on of project)Of ~ 'I 1A1,L.04XJcSO IJcorTl~"I:>
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Present use of property YACf.\NT
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Owners of-property within 200 feet of all property lines of s~bject property according
to present tax rolls: (to be obtained from College Station Tax Office)
Name:
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Address:
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Attach additional sheets if necessary
Application Fee:
Initials of Tax Assessor or clerk-6
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The applicant certifies that the above information to be true and correct.
If application is filed.by.anagent, a pO\Aler of attorney statement must be included.