HomeMy WebLinkAboutApplicationAPPLICATION FORM
SITE PLAN REU I EW Date c.~
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NAME OF PROJECT C._.(~}l L ~ ~-~( Q Residential
~ Commercial
LOCATION/LEGAL- DESCRIPTION ~ C
APPL9CANT /~ (~ PHONE. ~~~
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ADDRESS z B
OWNER C~I-~l L I S PHONE
ARCHITECT ^° A RT d - PHONE. 2! 5D Z D!/
ADDRESS ~' ~l Gam' Z ~1/~ ~
PRESENT USE OF PROPERTY: ~~~~/~.Q - j~ll6Fj~oS c~ ~ ~A'~~
CURRENT ZONING OF PROPERTY ___~~~ ~( ~Q-t'
VARIANCE(S) REQUESTED AND REASON(S) p u~G
NUMBER OF PARKI~JG SPACES REQUIRED
NUMBER OF PARKING SPACES PROVIDED O ,'[tC .
The applicant certifies that the above information is rue d orrect.
Signatu of own r (or agent) or applicant
IF APPLICATION IS FILED BY ANYONE OTHER .THAN THE OWNER, A P WER Of ATTOR~~EY STATEMENT
MUST;BE INCLUDED,
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