HomeMy WebLinkAboutApplication
C I TYOF.. COLLEGE... STAT I ON
APPLICAT10N FORM
SITE PLAN REVlEW
Date :2-Q'-1-8B
NAME OF PROJECT
CJ.'Residen t ia 1
-AJANTA R.E.5YAuI<ANT n:::::rromm~rc i ~ 1
110 COLLE6JE ~MA1N
LOCAT..IONILEGAL OESC.RIPTION
;L. OJ....LE 67E 6rA T10N
NIA
PHONE (LjOq) Sq.G-7f1-3'5
APPLI CANT ABDULL-AI-J At H06SAIN
ADDRESS 2>CJ02...COLL661E...lqAINd....BRYAfiJ'
OWNER
ABDuLLAH A-L 1-lo56A1N
ARCHITECT OR ENG I NEER
PHONE
ADDRESS
PRESENT USE OF PROPERTY
tURRENTlONING OF PROPERTY
VARIANCE(S} REQUESTEOANDREASON{S)
I(jC>Nl2
-~-"-C--Tne--atipl rea nt c e r t i fT-e's..--tl\a~t t- heabov'e
informatTonis trueand<correct.
~~q....~.......~~~
Signature..of...owner<(oragent) ..or appl.'ican ~
IF APPL1CATJONIS FllEOBYANYONE OTHERTHANTHEOWNER,APOWER.OF ATTORNEY STATEMENT
MUST BE INCLUDED.