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APPLICATION FOR CONDITIONAL USE PERMIT P&Z Case No. ,'~~-7cc
Date Received ,-Zi/ty,;eJ=~~ 8~
Applicant: _Ii:i_1I~~~_!:lli_eg~8~~~l_(~~!!~~~~_~~~~E~2_________Phone: _~33.:j71i3________
Addres s : ---:t2Q.~-l1!.!.._J!.~t_~tE~~~,L~E;Z~,L~~~9:~__.;.._______________~_________________ .
Loca t ion 0 f Proj ec t: J::.Q.Q.Q.}il9.Q.~Jl.~~~~~~~lJ~~~_(~~_~~~~9.~2________...:.___________
Owner, of land: _~~_~~~~_~~~_~~~~~~~~_____________________~_______~_______________
Address 0 f Owner: -l2Q4:_~!..-ll~-s_~~~~~~!._1?~:l~~L_~~~~_____________________________
Proposed Use : -~~;:~~~~~_l!9.~~~____________________________________________~____
Present Use of property:
Vacant
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The applicant certifies that the above information is true and correct:
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Signature of applic
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IF APPLICATION IS rILED BYAH ,AGENT. A POWER OF ATTOIlNEY STATDmNTMUSTBR INCLUDED.
A public hearing is required for a proposed conditional use permit. The applicant
is responsible for placing an advertisement in the paper at least 15 days prior to
the public hearing. The Planning Department will prepare the ad. Allproperty
owners within. 200 feet must be notified of the public hearing. The City prlepares
and.mailsthese.notifications to the people on th~ list prepared by the City's Tax
Office. See Ordinance No . 850 Section 10.. for complete requirements .
Minimum 'Requirements:
1. Application completed in full plus list of property owners within 200 feet.
(City Tax Office prepares list upon request from applicant.)
2. Receipt for filing'fee'($25.00) plus, $2.00 for each.prop~rty owner within
200 feet as listed on the City Tax rolls. ALLaf 48 BOURSlOR ,PREPARATION OF
LIST
3. Five (5) copies of site plan which include requirements for site plan
proposals as listed on attached sheet. This site plan will go to P.R.C.
for review, afterwhichten (IO) revised copies of site plan will be
required.
4. Detailed explanation of proposed use including hours of operation, number of
employees,number of students, children, church members, etc., as
applicable.
5. If sign is planned for project, site pIaU should include sign elevation and
details. If sign details, etc." are not included on the plans submitted
with this application, any future;sign must be considered as a separate
conditional use permit and,sll of the above requirements must be repeated.
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