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APPLICATION FOR CONDITIONAL USE PERMIT
Multifamily residential project
~ Other - speci fy
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p&Z Case Number Date received
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App 1 icant . (11' (!."HI O-?'h'2<';"-<'- ~"T~<J}r",
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Address :J70!; gO.-f.~ B('7~ I 7(; v....:::, I 'POi
Owner ~..'~,.~ Address
Locat i on of project lOT 3 #\./ L-Owoo.() AOpj7/C!>~
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Present use of property ~VAc..AN:T
Phone 119.-8S-~.7_
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Owners of property within 200 feet of all property lines of subject property according
to present tax rolls: (to be obtain'ed 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 ~_
The appl icant certifies that the above information to be true and correct.
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Signature of applicant, owner) or agent
If application is filed by an agent, a power of attorney statement must be included.