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APPLICATION FOR. CONDITIONAL USE PERM'IT P&Z. Case No. ~.?E2L~~,-,-
Date Received -~#Ai'&:::~
Appli~$lt.: .,..=-!i~-~~,",~~~~~____~~~~_,-,-_,",___Phone: ...6fltz::.~~.L....__~
Address.: ~~-Z~~'"'----~~-~.,--~,",---_-_,-,-~~~_~_~~~___~~__~l~~:'!~~~__
tocat ion 0 f Pt"Qje~t: ..,..ZlQ.~.:i~fUI{d~:#L,.;...,..~...._.......~__~_....,-,-____~_~_,-,-~__~______..,..~......,.._____
OWnerof land: -~!:J!ai:~~,-,-..,.._~-......,...,__......_-....._.......________,",-____,-,-.,...,__
Address of Owner: -f6tJ.J$P:.f-.....!13.1l7.,...,~l1t:r~..,.----..,...,..._..._........_~______________
Pro~edUse: .,-~~~~~~___~.c3.:~~.;30___........
P~S~~e~p~~y~ ;~~__~~_..,._...'"'-_~~_...~__
The .applic.ant ...certifiest'ha.t the..above.infonnatiQn is true and correct:
r-.. .~................
~PPliC8nt- '-.,...,~~--.,---..,.
tr_l.'~~ATlbN.'J1dmB,,qAGBllr. APOWBROFAT'1'ORNBY'STATBMRN'rMUST BB INCLUDED 0
Ap~~i~.~e~r~ng .isl'!~~t1~r~d~9ra. .PJ;'QI?Qsed~()nf.lit i()Qal~~Pennito'J:he~pplicant
.' i$r~$ponsib:Lei~Q~Pl.~il.l~~advertisenrell'tli,n'thepapera~leS$t 15 days .pr$orto
tlte'Pttb:Lj;clte~ing, .. .'I!~e.Pl~il1~JJeP~tlDen~ >~li,llprep~e .tb.ea<l. A.llproperty
owners.witltj;11200 li~~t~t ..J>e 'notli,fie,<lof .tb.epublh; . hearing. The City . prepares
and.mailsth~$enPt*fic~tio~ toth~Peopleon\the l~stpr~p~edbY tneCity's Tax
Office. - See()r<lin~ce No.asOSecti9n 10 for complete requirements 0
MiniJll11Pi Requir,enrents:
1.. Al'P~icatioll~ompleted in.. fullpl\lS ~i$t .ofproperty . owners within 200 feet.
(eitY'r~.OfficeJ?reJ;la.resl~stuP()nreqUe~t froJll.applicant.)
2. R~eil1tfor ,ftlil)g. fe.e.....($25.00) plus '$2.00 for .~adl. property owner within
20()feetaslistedontheGityTax rolls. ALLOW 48 HOURS FOR PREPARATION OF
LIST
3. Filteii(5) copies o.f site plan which include requirements..forsite'plan
Pli'opos'alS '~.li.~ted :onattached sheet. 'ftt.issite plan~wiUgoto P. R. C.
for :re'Vi~,afterwhich ...ten {Ie ) revised copies of site . plan .will be
reqllir:ed.
4. I)Elt'aiilFd~~l~ation . of proP9sed~seincluding. hoursofoperatioD, number of
eHlPi~oy~e$, inUD;1oer. ofEltu.dents, childreo,<.churchmemoers,e'tc., as
applieflble~ . ...~'
5. If ,~~~ iSp~annedf()rprQject, sitep'.lanshould. inc1udesi~ elevation and
detaill.s~ .. ~fsi~<letails, etc.,~e~()t j.nclude<l on the plans submitted
wiU~.~lf1is~PP1i~at:i.9n,any futuresi~ Jn~tbeC91'1sideredas a separate
conditi.onal usepennitandallof the,sb.overequirementsmustbe repeated.
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