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APPLICATION FOR CONDITIONAL USE PERMIT
Multifamily residential project
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. p&Z Case Number iJ..1ok Date received $!ta ~' t/I lIt!
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Appl icant ~* ~r-e.p--r~ Phone &=I~.eeD2(or:-PI'c::t:=:.)
Address '?IO-l-l~eL. .*~AN, -re~ ,-rSe>l
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Owner ltt~~~~'tl~~~f4!>Tap Address ~~,~"M ieMF"LEiJ~T ~CIT'(.UT~~15
Location of project IOO)'C)'2.~lo4,lo(D t::::fE;x.-r~ 1::>p...IVE::.\ ~L.e=GE: SoTA-rloN... Te=.xA$
Present 'use of. property V~NT k~c:;.
Owners of property wLthin200 feet of a'11 property lines of subject property according
to present tax rolls: (to be obtained from College S...7tatlon Tax Offic,e)
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Name: Address:
Attach addit"ional sheets 'if necessary
Application Fee:
Initials of Tax' Assessor or clerk
The applicant certifi es 'that the above information to' be true and cor rect.
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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.
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