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P&Z Case l~To.
Date
CONDITIONAL USE PERMIT APPLICATION
Use'Only
Site Plan and Use
O Site Plan Only
n~ ^ Residential
NAME OF PROJECT ,Sn'IA r ~~ 9 ~E ~ r G row 5 Cc- N~c 2 Commercial
ADDRESS ~2en!!~ tin ~vo al
LEGAL DESCRIPTION ~ ~ ~cl~d
. r
I~ESlt~EN~i'IAI~. CJMMEIEt":IiA;i,
Total Acreage Total Acreage
Housing Units Building Sq. Ft. •S~oo ~ ~noo~
Floodplain Acreage _~--
APPLICANT J ~-~r M ~ Sm~ r `- PHONE.... ~y 4 ~ ~" Z- 2- ~' ~ 1 ~ ~
ADDRESS ~ 60 - ~ I.P xCS /~'~ ~ ~r'1/~ ~ ~~ 7~ d'a ~
PROPERTY OWNER ~~ ~~.( LQJ` ..e ~ ~ ~~ 4 • PHONE
PROJECT MANAGER ~,/,~,~;.. ~.S r-~--~ PHONE ~U S Uzi ~' ~ ~- ~
ADDRESS ~ ~ v~ _ ~'_ `ZQ ~~ ~f t~-C ~ ~' ~1,~ ,J.
ARCHITECT OR ENGINEER ~~N ~~ ~1e(' PHONE
ADDRESS IJI ~
PRESENT USE OF PROPERTY.. ~/ ~G~ N~ L,~ n~ ~
PROPOSED USE OF PROPERTY ~~v ~G~ L C~ 4 i v os C ~n ~ ~ Cd.~n-w~un~~ ~ `t~
CURRENT ZONING OF PROPERTY ~„ nJ ` T . lL ~ Dom''
VARIANCE(S) REQUESTED AND REASON(S) hl , s ~. (~ b ti ;~ ~r) ~ C'~~-~c~
NUMBER OF PARKING SPACES REQUIRED QS n~.
c-
NU F P SPACES P IDED ~ A~-~-~~
ignature of Owner, .gent or Applicant
., (~~ x'17
Date
c:\forms\plan\cupa.doc
CHURCHES
Minimum Requirements:
1. Receipt for filing fee ($150.00).
2; Sixteen (16) copies of site plan which includes requirements for site plan proposals as
fisted on attached sheet. This site plan will go to P.R.C. for review, after which thirteen
(13) copies of revised site plan will be required..
3. Detailed explanation of proposed use including hours of operation, anticipated traffic,
number of employees, number of students, .children, church members, etc., as
app icable.
4. Ifsign is planned for. project, site plan should include sign elevation and details. If
sign details are not included on plans submitted with this application, any future sign may
have to be considered. as a separate conditional. use permit and all of the above
requirements must be repeated.
APPLICATION WILL NOT BE CONSIDERED COMPLETE .WITHOUT THE FOLLOWING
INFORMATION ADDRESSED:
1. Approximate. the distance to the nearest night clubs, restaurants, and retail commercial
establishments..
2. Discuss the possible necessity for screening (fence or vegetation) between the subject
site and adjoining residential properties. .
~.,,:~t ~ doh As ~,~„~ed b~, Cr . /~~'u 1G~~.~ r
3. List all incidental .uses along with hours of operation (including but not limited to school,
.day care, spo s activities, etc.) _ _ ~ ~ _ ^
I verify. that all of tie inf rmation Fontaine ~n this application. is true and correct.
Signature Date
c:~formslplanbhurches.doc