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Home My WebLink AboutApplication C fTY "OFCOLLEGESIArtoN p&Z CASE NO. 1#.... 717~ e~..~g~ '~~~6,Q~ APPLICATION FORM SITE P.tAN"'<RE\lJ,EW Date c:;~ P1 .~ ~ rt '.ar% 4 NAME OFP~OJECTfY\\At.!I~PO~/~~CA-r~OY'Jl\f..- ~ it.i> vN"G CI....Resldential EJ.....Commerci..al ')f~?lk6 i -zmv""G lO~ATIONll..EQAt.O:ESCRJPrl0N "tRAGT... \\ .'.f.-ti'e'~ ~ll I~ UJDf1tY 4f(:\w'\i ~o ~t,~ ~~e 1 ~ 'il%; -rl~~( 1<.-'5 \~ PHONE61~)-411 i _i ~.~ ABDRESS (k200,b'AVb'i ~;S1AtrE '~lSt,f ~.LS,JTc:5((\Ji 1~Ji)~ 't71(?~~ OWNER ~&'r ~f' 1\ Sl ~~) (;..;0 t"l..ce--&f STA-lf"N ARCHITECT..ClRENGINEER c.t..A.~~ S.~ PH@NE .....~.'z.t..G -CS14 7 PHONE 6'\~J .'917 ~ '181.f ADDRESS (p'~OO...'%\Jo1 ~'I ~rm ~'st,f~-'"t01\1J "-f>~,"'1?(!;3..~ PRESENT tJS.E 'OF P'RO'PIER"FY N-O N ~ ClJRIRENr .l.<DNIN'(i (;)J:PROP[:RT1' ZblU l- ~~- VARIANG.E{S}. '.REQt.J[SJEO "Jl.N:[)E{EA'S(}W{S) NtJMBER 'OF PARKFNG SPACES RlEQ.l.JIRED N UMBER OF '., PARI(ING SPAGES P~()\liIOEO ~ \ G}. I h e applicant: "'c.eirtifi'es tf:latthe doove information is true ana correct:. ~~~ Sl~nat:'ure.' ..of . @wner fo.... .... 'agent) <:>r. 'ap'pllc'ant IF APPLICATfON IS FltED (3Y AN '{ONE OTHER THf\N THE OWNER , APOvlER OF ATTORNEYSTATEMENI MUSTBEJNCl U DIED. L6CA L ~VV.T Ac"'\ '1::>AV 'D '~P- 'I ^tJ 719 7002- of attorney statement must be included.