HomeMy WebLinkAboutApplication
JIl. " "
P&Z CASE NO.- C/;J- L/rL
APPLICATION FORM
SITE PLAN REVIEW
Date hI1_~/9 J-
~Residential
NAME OF PROJECT.. C<<.y;/Je-etfl leG 0 Commercial
LOCATIONILEGAL DESCRIPTION fIg- ~/1Ie-rsI1yOY'.6: Cell, erit i/P7't
APPLICANTJl/YYbd .)111 r1-h
ADDRESS .tf'fOlLAy-ferCruJ:.# 'i
OWNER. .. l--hwa ra Mr'Y1S
ARCHITECT. OR ENGINEER
ADDRESS
PRESENTUSE OFPROPERTY moh,l ells · tf-k-';'U71
PHONE citY! lfY{-5106 .. /J_. _ . __.../).
. wl(.!tiI-\f,. , ,. 51 ..".~~
D. ~ 77~7CYoo.~ . .... '. .... . . ;;2:3.flJ
o "'/,UJ / I Y. . 41'
PHONE {ra-J >E3 - 3/36
PHONE
CURRENT ZONING OF PROPERTY
V ARIANCE(S} REQUESTED AND REASON(S)
NUMBER OF PARKING SPACES REQUIRED
NUMBER OF PARKING SPACES PROVIDED
Theapplicantcertifie ~.
-ofowner( or agent) or aplplicant
IF APPLICATION IS FELLED BY ANYONE'" THER'THANTHEOWNER, APOWE]~.'OF
ATTORNEY STATEMENT MUST BE INCLUDED.
FORMS\SITEREQ.DOC
11191