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APPLICATION FOR SITE PLAN PERMIT
P&Z Case ... No.
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Date Received
APPlicantEo:yc:rr $;V15V-/Uc7JD Lm Phone
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Owner ~ ./] /J~ .t;;;... ..
Architect . or Engineer 4e:::.D;.J
Address
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Address
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. ... Phone .~~7~Si-d2-27
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Address
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Location of Project
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Present Use of Pr6perty
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Owners of proplerty withiIl 200 feet of all property lines of subject property
according to present College Station tax rolls:
TO BE OBTAINED FROM COLLEGE STATION TAX OFFICE ONLY
Name:
Address:
Attach additional sheets if necessary
Initials of Tax Assessor or Clerk
Application fee
THE APPLICANT CERTIFIES THAT THE
-
If application is filed by an agent, a power of attorney statement must be included.