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APPLICATION FOR CONDITIONAL USE PERMIT P&Z Case No. $t,..1o?
. ...... ... ......... ..... <.\i ................. ...... ...>i ...... ........ Date Received _='ifl;iA7i];~
Applicant; ~~-~_-'-_.~_j;_~.L_____Phone: ...2_1A_~g_~~:9
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Address of Owner ~ 12()__1- - - l' ,~___ --- - -- ----- .::!p,
Proposed Use: ___(!_____
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Present Use of property:
Theapplicantcertifies< that the above information is true.and correct:
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Signature of applicant
IF APPLICATION IS FILED BY AN AGENT, A POWER OF AftORNEYSTATKMENTMUST BE INCLUDED
A public hearing isrequiredifor a proposed conditional use permit. The applicant
is' responsible for placing an advertisement.inthepaperatleast 15 days prior to
the public hearing. The Planning Department will prepare the ad. All property
owners within 200 feet must be notified of the public hearing. The City prepares
and mails these notifications to the people on the list prepared by the City's Tax
Of~fice. 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 property owner within
200 feet as listed on the.. City Tax rolls~ ALLOW 48 .IIOURSFORPREPARATION OF
LIST
3. F~ve(5) copies of site plan which. i:nclude requirements for site plan
proposals as listed on attached sheet. This site plan will gotoP.R.C.
for review, afterwhichten (10) revised copies of site plan will be
required.
4. Detailed explanation of proposed use including lloursof operation, number of
employees, nwnberof students,children,church members, etc., as
a~plicable.
5. If,sign is planned for project,site plan should include sign elevation and
details. If sigll..details, etc~,. are not included on the plans submitted
wilth this application, any future sign must be considered asa separate
conditional .use permit and all of the above requirements must be repeated.
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