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APPLICATION FOR CONDITIONAL USE PERMIT
Multifamily residential project
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p&Z Case Numberf'f\-'10
Date received
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Phone ,I-J:J{) ~{r~~At:r5-87~~
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Applicant tA~ 7ind-o.,y:,rirvE.e]!oWS6.lh
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Ow.ner t]'~, UI1I +fA,Vh.l.};> Jlnu2 !Sh1r ' Address
Location of project l1.rt\...bbv-<L-
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Present; use of property "<v~v 'ch-
Address
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Owners of property within 200 feet of all property lines of subject property according
to present tax rolls: (tobe obtained from College -Statiol1 Tax Office)
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Address:
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The app 1i cant certifies that t.h.e ...a.bov. e . i IifOrm. at ion _~? "'. .DJb. t....rue an. d co.. r rect". . 1/.,1 '.. .. .. ·
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Si.gnature of applicant, owner,. or agent
If application is filed by an agent, a power of attorn,ey,statement must be included.
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