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t t Date ~~~! 1 ~-.
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CONDITIONAL USE PERMIT. APPLICATION
^ Use Only
^ Site Plan and Use
^ Site Plan Only
-{~~~~ j,~,~~('i-f1•~'2~:~ GNI~ (2G1~ ^ Residential
NAME OF PROJECT GL,~~t~: / ~I~- ~'I"Gki~ta • A~I~ITIdi`~ ^ Commercial
ADDRESS 2~ I t~14 G'f~N Co ~ --~~' ~T~'j^I~IJ ~ `1T?~
LEGAL DESCRIPTION '~~~ ~ ~'U-~N~Z~ v~'`Z'~-~~~ ~~G~ ~~~' I ~'~~`
RESIDENTIAL COMMERCIAL
Total Acreage Total Acreage
Housing Units Building Sq. Ft.
Floodplain Acreage
APPLICANT I~~f'`G~ LU -tH Ef~-N GN y I2GH PHONE ~1 ~'~9-~
ADDRESS 22~ l I21 b G~i'~t~, GoL-I.-~~~ ~p'Ti~'I`~ ,'~X 'i'1`~'~'
PROPERTY-0WNER f ~~~, l-L~1~N~f)'~ °~N~'~GH PHONE
la~l ~,.__~.d ~
PROJECT MANAGER. ~~~~~'I~ Ga~`~ PHONE- '~ ,
ADDRESS 22a1 I2Io ~~~1~~~ ~~-~ ~f'~'r~o1`Ii"rX
ARCHITECT OR ENGINEER NaL-~-~K `~ ~'~/~~~~ PHONE ~P~ ~' ~ (~~
ADDRESS `~(QO'1 ~~cTfi~~~ J~ I'1~ 2GY~~ C~1~1.-'"~,_Gj'1"l~T~l~(~~~'~j~'!T'1 ~'G~
PRESENT USE OF PROPERTY -GN ~ f~GH . (i~~?G~'ii~l I / "~7~P G~i ~ ~1~%' f ~.~
PROPOSED USE OF PROPERTY G~-1 ~ ~r'~ ~I I'{'I-I . ~~,~t`~ ~~ (~ 1~f~`~ ~~'I~~~-
:CURRENT ZONING OF PROPERTY
VARIANCE(S~ REQUESTED AND REASON(S)
NUMBER OF PARK[NG SPACES REQUIRED: I) ~ - - ~ ~~-1.~~
r15 ~
NUMBER OF PARKING SPACES PROVIDED
Signatur caner, Age or Applicant Date
c:V'omu\ptnn~cupa.doc ,
CONDITIONAL USES
MINIMUM REQUIREMENTS.
3.
Receipt for filing fee. ($150.00 or $75.:00 for in-house child care -mina 7 children).
Sixteen (16) copies of site plan which includes requirements for site. plan proposals
as listed. 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.
Detailed explanation of proposed use including hours of operation, anticipated traffic,
'number of employees, number of students, children, church members, etc., as
applicable.
4. If sign 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 haveto be considered as a separate conditional usepermit and all of the
above requirements must be :repeated.
APPLICATION WILL NOT BE CONSIDERED.COMPLETE' WITHOUT THE FOLLOWING
INFORMATION ADDRESSED:
Conditional Uses: (check one)
^ -Child Care
^ Convolescent Homes
^ Medical Clinics
^ Pharmacies
D Public Libraries
^ Community Buildings
^ Municipal Service Faalities
^ Sanitariums
0 Nursing' Homes
^ Faridng Lots
^ Telephone Exchange
^ .Veterinary Clinic
^ Hospitals
3. Traffic Impacts
^ Duplexes. (R-3)
^ Telecommunication Towers (A-0, A-
P, M-1)
^ Fraternity/Sorority Houses (R-5, R-6,
C-1, M-1)
^ Group Housing (R-5, R-6, C-1)
^ funeral Houses (C-N, C-NG, M-1,
M-2, A-P, Cam)
^ Large Recycling Collection Facilities
(C-NG, A-P, C-1, C-2, C-3)
^ .Apartment Hotels (C-1)
State -how the following issues will be addressed:
1. Parking
1`~ IN~~~~ iiJ 1`~~.r~ ~ ~~1=i~ I~~GT~t~ 1~~~.~'rN W1~L
.1'~ ~d i (~ T+}~ ~.~"(11~. ~f~l'1'~'( op `f~ ~'~~I/t~~-Y ~,~G~ .
2. Screening of offensive areas (trash, loading areas, transformers, utility connections,
detention ponds, etc:)
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4. Protection of neighbofioods
~1oN> _~~~It,~
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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
listed 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
applicable..
4. If sign 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.
~~ ~~ I~ ~~ ~.~T~ t~l~'f`/GUS t~ ; ~~}-- M I ~ ~
2. Discuss the possible necessity for.screening {fence or vegetation) between the subject
site and adjoining residential properties.
- Na 'N~. X012 ~z%~~Ei~~ ~~~1'~~I~~ 'I"1-lam , I'f"IoN - (^I tel.
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3. List all incidental uses"along with hours of operation (in`cluding but not:limited to school,
day care, sport activities, etc.)
verify that all of the information contained in this application is true and con'ect.
-~.1 /~j
Signature Date
c:Vorms~planlchurches.doc
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