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APPLICATION FOR CONDITIONAL USE PERMIT.
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Multifamily residential proJect
Vi' Other - spec ify
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P&ZCase Number
Date received
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Address (,.SO ,
Owne rS~J\I)/~
Address
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locatiori of project
Present use of property C,.
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1 ines of.'. subject property
Stat ion Tax Off i c'e)
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accord I ng
Owners of property within 200 feet of all property
to present tax rolls: (to be obtai ned from College
Name:
Address:
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Attach addJ tional sheets if necessary
A pp 1 i cati 0 n Fee:
Initials of Tax Assessor or clerke
The applicant certifies that the abovei nformat ion to be true and correct .
Signaturof appl icant, owne',
69t--137b
If application is filed by an. agent, a power of attorney statement must be included.