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SITE -PLAN REVIEW. APPLICATION NAME OF PROJECT ( '~~~~~,C; ADDRESS ~ ~7 ~ ~~. ~4~ ~ . _; ~a ~ ~ ~-~~,-, ~-,,,. ~~ DATE ~! ~ ~ P&Z CASE NO. ~ Residential Commercial LEGAL DESCRIl'TION ' ~vv .~--~ RESIDENTIAL Total Acreage 1~,~ / <.], Housing Units ~ # Bedrooms > 132 sq. ft. # Bedrooms < 132 sq. ft. COMMERCIAL Total Acreage.. ~,: Building Square Feet Floodplain Acreage ~ ~ APPLICANT f,l ~~`~ '~'i~=i~t~ C(~ PHONE ~~~~ -- G2~'~ i ADDRESS `~? C~`' o ~`~- I ~ f~ ~~ ~~~ i~1- ~ 1 OWNER L~ ~ "1 `'~"f ~ ~~~•.~ ~~ t~ C~ :~ ~~ ..PHONE C~ L~ - `2-%~ ~~Z-~z' ADDRESS `~ ~ . ~~ j ~ ~ e ~~~ PHONE ~`1~ °~ ~~-'~~,., ~Z PROJECT MANAGER ~/~-~-•~'~ ~ B ~~~ PHONE ~'~~' `~Z-fv~ ADDRESS °~`~; ~ >l"Z- ~~fi~..~- `~-'~h2~i~ t,~e~ ~i..~, t t ~~ _,. ARCHITECT OR ENGINEER -~~'-~'~4°Ci U~ i~ _ ~~ ~ ~?~ -PHONE '~ ~`~ ~~,/~j e~ ~B/ J J~ ADDRESS ~~~--~ C'Y~ ~-~'~~~~ .~,~ ~~ 1`~ ~'~' ~~ PRESENT USE OF PROPERTY ~- ~¢~ ~,~~ ~--- PROPOSED USE OF PROPERTY _ ~°(~ ~ ~ ~,~'L.,~~,~ C~,,,,.,k ~_4 ij a CURRENT ZONING OF PROPERTY ~. - VARIANCE(S) REQUESTED AND REASON(S) '(~,.~ ~,~ NUMBER OF PARKING SPACES REQUIRED ~ NUMBER OF PARKIlVG SPACES PROVIDED Signature Agent or Date fwme/plffiJeitaeq/8.95