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APPhICATION FOR CO~tD ITIONAL USF~ PERMIT P&Z Case Igo. _ _ ------.,.--
Date Received __,~.,,~-,~'.~-.~_~
°' ~~ ~" ~ Phone ; 6 Q ~ + 3.~ ~ ~.._..---
ApP l ~ can t . -----
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Location of Pro,}ect. ~` .~ ~.~~ -.nr.w~.~--~.~..~-.~-_--~-~..~-.~-+~-.~--_w~-~rw--•~--~._..~.~~r~-----
3 Owner of land. _ 5?':..~T~?~?~,`_-~j-~v~ nl -----------------...-----~---------------------
Address of Owner.... c~/~~ ~45~' i~ + , ~jL
Pro ed Use: ~~~~~ ~ ~~~f Li ~~5
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ert : ~~v~G~ ~'~C1 C..l f'l ~5
Present Use of prop y _..---------------------M.~..~,.~-.------~----------------__
a licant certifies that the above information is true and c sect:
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' Signature of applicant
BY AN ~T A . PIS OF ATT~~NBY STAT8~l9BNT MUST BB IKCLUDBD.
iF APPLICATION IS FIhBD ,
' ~e wired fora re used conditional use permit. The applicant
A public hearing .is r q P P
~ is res onsble'for lacing an advertisement in the paper at lest 15 days prior to
i ~ P °. re are the ad. A11 property
the public hearing. The Plann ng_Department..will P P
owners within 200 feet must be nat~ied 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 HQ. $50 Section 10 for complete requirements.
~ _ ~ .
~~ Minmum.Requirements.
' com leted in full lus list. of property owners within 200 feet..
'~ 1. Application, p P
(City Tax Office prepares list upon request from applicant.}
' br flin fee $5.00 lus $2.0~ for each property owner within
2. Receipt. f g ( ~ P
2~~ feet as fisted on the City Tex r411s. A~[~0~1 48 ~t~S FOR PRBPAxATION ~F
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S. Five 5 co ies of site plan which include requirements foresite plan
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ro osals as lis ed on attached sheet:. This site plan W~11 go to P.R.C.
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for reviaw, afterwhich ten (10} revised ....copies: of site plan will be.
re wired.,
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• ~ o eration number of
urs f
udin ho
e incl P
us
d
4. Detailed explanation of propose g
'~ employees, number of students, children, church members, etc., as
applicable.
• ned f or ~ ro °ect Bite plan should .include ~i~n elevation ,and
5. If sign is plan P J ~ tad
details. If sign data s, etc., are not included onthe plans su mit
with this a lication, any future sign must be considered es a separate
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conditional use permit and al of the above requirements gust be repeated..;
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