HomeMy WebLinkAboutApplication12/02/98 15:54 $409 764 3496 DEVELOPMENT SVCS
SITE PLAN REVIEW APPLICATION
Z002
BATE.
P&Z CASE NO.
AIL
MIPIAKUIVr REQUIREMENTS
l ed' full
Site plan application compet m
$100.00 application fee.
Ten (10) folded copies of site plan which include requirements for site plan proposals as listed on attached
sheet .
_ZLA copy of the attached site plan checklist with aIf items checked off or a brief explanation as to why they
are not checked off.
NAME OF PROJECT
ADDRESS
LEGAL DESCRIPTION
O R_ IDENTIiAL
Total Acreage
Housing Units
# Bcdroorns > 132 sq. ft.
# Bedrooms - 132 sq. R.
O CbMIKERCIAL
Total Acreage
Building Square Feet SUI,
Floodplain Acreage
APPLICANT
PROPERTY OWNER
~P
ADDRESS /CZ 7 f/z
p
ADDRESS /ll ~ z ~l0
PHONE 71y~ FAX CZ Z - 7~~
PHONL"7 ~9' 7 f FAX.
PR6j1~ CT MANAGER
ARCHITECT OR ENGINEER
ADDRESS
ADDRESS
PHONE FAX
PHONE FAX
PRESENT USE OF PROPERTY _1119 C
PROPOSED USE OF PROPERTY 411(6Z 9//0
CURRENT ZONING OF PROPERTY
VARIANCE(S) REQUESTED AND RTASON(S)
MJMBER OF PARKING SPACES„REQUIItHD 2 4
SP
liJ
Signature of
,T m ."W. -ptm.d-6l "
PRO ED ~7- -7
~C
:r, Agent or Applicant
I
121-3
Date