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HomeMy WebLinkAboutApplications (99-420)CIMM "n XUMUTTID SITE PLAN APPLICATION red E c -I q a q- q X iVwT f1TM SUBMITTAL REQU MMENTS ~~;s ito plan spplicmiidt► co~+Pleted in full. 100.00 A100,00 Application Foe. bk if oous~e of s public $300.00 Public infrastructure hopecdon Fee if appliooble. (his fm is p~ ,.=jjnc, gmwline, Sidewalk, street or drainage faailitios is involved.) Ten (10) folded copies of site plan. A copy of to att=hed silo plan chocklist with all items checked off or a brief OVIw ation as W Wv y fty NO cboclced off, NAME OF PROJECT ADDRESS X FOAL DESCRIPTION APPLICATION DATA . 4f) , --k- z 5'A A~ "~ra2©5 COL APPLICANT (PrimarY Contact for the Project): ~ti} ~s~ ►e^ L-1 Q4 Na= 0~ 'T3Joc K -B X75, Pa5e3`l Stroll Address Pe-- y 112L City -V LCJ 0 r I' a, Stet: -7-X- Zip Code 'mil -7 9 Q -2, &Mail Address - ± h u r I C ~ :L ha gqAP1wno Number .319 / -5 7 3 - 71Q C, Al Fax Number ~31, / - 9'23 e x pwpi RTY OWNER'S INFORMATION: Name C, k _~h n r,-, a s ( L r! fi O ,Y\ ACA- ue t r- i Stre::t Address :20 tan) l8 L City V o r• - Stata Zip Co& 7_ ~E-Mad Addmss - dog be" 6? - Phone Number ~3-,?PI-S73-- !Zlot - -FaxNumba /-S'73-- ,9910 e 1 ARCIinUT ORENOINEEWS INFORMATION: Name P n4 m a. r- l(- . n sc, - S=M AddrM a Q 1-_ _-1S ? to - city State _ _Zip Code O " E-Mail Address Id 1 r a. h e _S .Coto 7 3 - to (9 2 3101- 5 ~3 - ~S 9 lO Ylmun Numbcw Fu Number OTHER CONTACTS (Phase specW type of contact, i.e. project nwn W, potemial b* w, load oooNd W-) Name StwdAdd= t~ city j f2 - n, -state Zip Code 7 ~7 9 0 2. E-Mail Ate! Ad 11p A ihp 2L- 573- jygQ~ Y r f FaNumber PhcoeNumber S1TBlS.ANAPPLiCRMOK / 1 d$► M3A81'i= 0=199 4A::. , r CURRENT ,ZONDIG PRESENT USE OF PROPERTY S PROPOSED USE OF PROPERTY VARIANCE(S) REQUESTED AND REASON(S) # OF pARMG SPACES PROMM # OF FAV"G SPACES REQUIRED p Mi rr i;-FAR~SIDE Tassl Acrugc Floodplain Acrc8c____- Hosing Units # of 1 Bedroom Units of 2 Bum Units it of 3 Balmm Units 4 c14 Bedroom Units ICOR 2 BEDROOM UNLTS ONLY # Bedrooms 1 132 sq. R. ~/~~rre4 Tatal Aaraige P47 Auilding svm Feet ZLOO PloodplWn A=cW MW{;. # Bodrooms < 132 sq. fL ;K The ap nwd has prepared this applicadOn and Md..* Chad thefact AWnhear~deoa hereto are !ruts xW cor"cl. J Do As* gyvro of ar Appliaat AMAVATION OWN