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APPLICATION FOR CONDITIONAL USE PERMIT P&ZCase No. ..t5'S:7/~
Date . Received -=~~j=~=~E
Appli~ant.: ~~_f:61Z~f__!A.~~~c;l~J!:l_~-,-___Phone: __225-=~tX2___
Address: ---__L..d:.Jl....~-.....~&JJ!e&L--BjL-d_-f-~li~.1-~~+_7i~---7:L~:L~---
Location of Project: '-..._z'::l.:..i:!.:.._ft__--.....-'-....__---_-____-_--_----'--_---_---------
Owner of land: --...-.....k~!:fr--k't~~-v----....--:..------...-----!.-&-tiP-~----
Address of Owner: __.......Lf!~L.L/;;j!...ti---'fL.z:~l._~~_~_____________...____________
P~_.~ ~kil-~~~~~~~~~~
Present. Use. of. Pl!oPer~t: _....-.....b.AN-.....t_..._....___-'---___...--__________-_-~--
Theapplieanteertifiesthat theaboveinfonnat.ioD. is true and correct :
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IF .APPLICA".I1~QNlSFILBD.BYANAGBNT, A POWER OF AT'lORNEY.STATBMENTMUSTBE INCLUDED.
ApuJ;;.l i~hefilriJ1:g:.'~$~~qtlit~dferri .p~()posed..c()ftditiQnal... u.s~ ..pe.rmit. The.. ..applicant
is. .. re$poJ1$~b1l!e:f'~~P;1L~~~llg~i'El~'Vert~$eDlentiD ..:theI>ap~r.. . lilt least 15. day$ ..prior.. to
thepUbl~c~e~iDj~ Tb~.f':J.~rlin..n~J?artmen1; wlll.J?repaJ"e.. tbead. 'A.l1..property
OWl1~~ iwi-th~Il~~..<~~"",~~t~enptifi.ed. .ofthepub li.c ..hearing".. .. .The City prepares
and.JIIfdrt~1;ft~en~~~f~~a~;i.(;)ns ..t(;) the .pe9ple9n rtlie. li.s~prepared by the City~ s Tax
Offi'ce. Se,eOrdinan~eNo.<85() S~ctieDl(lf()rcomplete ... requirements.
Minimum ... iRequirteDlents:
1. ApJ>J.:leatl(;)~~()mplet~diD. fu.11.pluslist .ofpropertYowners within 200 feet.
(Cit'Y.'.['ax.~ffi.e~iprepareS. l;i.$t. upon.. request .from aJ?Plieant..)
2. R~e:~ptfor ~j.l~~" ~~e~$25.(0)plus $~. 00 for each. property owner within
2:Q,O :feet;<8S listed.oQ.....the...City . Tax rolls. ALLOW 48... HOURS FOR PREPARATION .OF
LIST
3. Fiv.e(5)eopies,ot'si.teplanlolhieh lDelude requi:rements for site plan
proposals as li.sted;QJlattachedsheet. ,.. ...T.hiss ite:planwill go toP. R. C .
for review'f1fterwhich ten (lO).revisedcopies of site. plan will be
reqUired..
4. Detailed:.expllll1atiop<of .proposed.use....including.hours..of operation, ~.number of
emplpyees, ..'n~~~r'of. . students , . . children ,ehul"chmembers, etc., as
applicable. ~. '1~~'
5. If .$~gtl iSPJ.Wln~df9rpr()je~t.siteplan . should . ineludesign elevation and
deta~ls. Ifsifmdetails~ ete.,are. not included..on.. tbep1anssubmi,tted
with: this applicati.on~ any futureslgtlmustbeeons:ideredasasepar.ate
conditional... use .pennitandall ,of the above requirements must be repeated.
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