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AP!'LICATION FOH CON/lITlONAl. lJSE 1'J.:HMI'I I'&Z Case No. 8b-7CJ&
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App li can t : -.. Ji '2.:L 1ilElJ;' .&}\.R :3()P. t ~te:Sq . _ _ _ _ ... _ _ . ~.. _.. _.._ __ .. Phone: _. ~ e?~J"::.21 Z~ _ no __ . ._ ._ ~
A ddr es s : . ---.. .'ZQQ.2..,E; ~f3 tmg;r k _ Pl;_ !'. __~ l:!l:t~ _~.~Q 1. .m~_J,.1~~~._.. S:t~:t~o.:t?:L 'tJf _ _ 7.2 ~Q __ _. .... _ . . _ __ _ h _. _. ..
Location of Project: Northea.st~()~!!.eJ:'__()r.~oJ~_]'2L.s~!l<i?t()I!-~A.~C!~t.i.().n_,--_Q.~~~~~~"S.~c:~ion
Owner of land: Ci:tyof'_.q()~t~~ge_ .E:t~t:ip_~.__. _.. __._.. n ..._ n_... .."_._~_ ___ .._ _ _. ._..___..__._"
Address of Owner: ~~J1Q.1_ Xe~a~~~.Y~"L.9.9))~~_2J.9Ji.9ll:_L1'~_JJ_~q._ .. ___.. ____ __ ___ _____
Proposed Use: _ ___~ __ _Jfi.r_eJ_ ~:t~~ft!.o.:.~.jl.J_ .f..oR. _~_e_ .Q:1:.~_ _ c>:t ~C_ C>.~;L_e_g~_Al:~.l:i ~ ~ _ ..._ ____ __ __ _._
Presen t Use. of propert y : ___V ~~~!!.t,_~ ().r~~A...bftJ_c~lt~~__:p..R~_~ __________________.___. . .
The applicant certifies that the above information is true and correct:
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Signature of appl icant
IF APPLICATION IS FILED BY AN AGENT, A POWER OF ATTORNEY STATEMENT MUST BE INCLUDED.
A pllblic 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. All property
oWn~rs within 200 feet must he notified of the public hearing. The City prepares
and mails these notifications to the people on the list prepared by the City's Tax
Offi Ce. See Ordinanc(~ Nu. Hf"IO Section 10 for comp I et.e requi rements.
Minimum Requirements:
1. Appl:i cation completed in full plus list of property ownersw:it.hi n 200 feet.
(City Tax Office pr-epares list upon request from applicant.)
2. Receipt for filing fee ($25.00) plus $2.00 for each property owner within.
200 feet as listed on the City Tax rolls. ALLOW 48 HOURS FOR PREPARATION OF
LIST
3. Five (5) copies of site plan which include requirement.s for site plan
proposals as listed on at tached sheet. This site p Ian will go to P. R. C .
for review, afterwhic}J ten (10) revised copies of sit.e plan will be
required.
4. Detailed explanation of proposed use inclUding hours of operation, number of
employees, number- of students, children, church members, etc., as
applicable.
5. If sign is plann~d for project., site plan should include sign elevation and
details. If sigr} details, etc., are not included on the plans submitted
with this. application, any future sign must be considered as fI sepnrate
condit.ional use pl~t'rllii Alld 811 of the above r-equir-empnt$ must IH' n>.peatl'd.