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APPLICATION FOR CONDITIONAL. USE PERMIT P&Z Case No,.~b~-:.7.Q-1::__
DateReceived_~~~~___
Applicant: ____~_-~L!.!_~~_~Q.~~~~~_?.~!.~~~_________________Phone:Z~~:~~Z~_________
Address: _____~__!~21_I~~~~_~~en~~L_~~!~~~~_~!~!1~~~_!~_ZZ~~~___________~_______
Location of Project: _~hll~Q._~l~~~_~~~p.p.l~~_~~!:.!~-'=_:_~~~!_!=~~~_~~~!2~~_~.:~~~_~~~.:e E-1
Owner of 1 and:.. . R2D._f.!:~~~__________________~________________________________________
Address of. . Owner : --!:.!.-Q-=--~2~-~~Q2L~Q~.!.1~~~~~!~!!~~1._I~_ZZ~~~____________________
PropoeedUse: ____~1I1_bl~~A~r~__________________________________________________
Present Use of property: __~~fan!_1~~~~_2E~E~______~______________________________
The applicant certifies that the above information is true and correct:
f applicant
IFAPPLICATIOH IS FILDBYAN AGDT, A POWER or A'J."lORNBY STA'l'BMBNT MUST BE INCLUDED.
A public hearing is required for a proposed~conditional use permit. Theapplicant
is responsible for placing an advertisement in the paper at least 15 days prior to
thep\ll)lic hearing.> TheplanningI)epartJnentwill prepare the ad. All property
~~rs.within200fe~t mu:;tb~notified..ofthe public hearing. The City prepares
and mails these notifications. to . the people. on... the 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.TaxQfficeiprei>areslist upon request from applicant.)
2. Receipt for filing fee ($25.00).. plus $2.00 for .each...property owner within
200 feet as .1istedontheCityTax rolls. ALLOW 48I1OURS FOR PRBPARATIONOF
LIST
3. Five (5) copies of site plan which include requirements for site plan
proposals as listed on attached sheet. This site plan will gotoP.R.C.
for review, afterwhich ten (10) 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 plan should include sign elevation and
details. If.. sign. details t etc.,. are... not included on the plans submitted
with this application, any future sign must. be considered.as.a separate
conditional use permit ..and all. of the above requirements .must be .repeated.
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