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P &Z Case NoA -` ` C � Date CONDITIONAL USE PERMIT APPLICATION w use uniy • Site Plan and Use • Site Plan Only ❑ Residential NAME OF PROJECT 5AI L I VA) t ❑ Commercial ADDRESS nJ o/_ ,a eS r Petk/,V S5 A illy r A &A&Vk rOA17 LEGAL DESCRIPTION 4O T' 3, 4 f S o f 8C SU 'E Vff f A -- o eL-7 t rift i ©AI ,, B zu 5 - ,gy.)TY , 12 A�& RESIDENTIAL COMMERCIAL Total Acreage Total Acreage S. � Z Housing Units Building Sq. Ft. Floodplain Acreage APPLICANT PHONE ADDRESS — " M g. PROPERTY OWNER 6 A L (m I S iM ,&IL PHONE $ Z Z (p i (p PROJECT MANAGER PHONE ADDRESS ARCHITECT OR ENGINEER PHONE ADDRESS PRESENT USE OF PROPERTY A — P VA(!A1J T PROPOSED USE OF PROPERTY e N\ M U K I TY e. EN - M 1 2 CURRENT ZONING OF PROPERTY A— P VARIANCE(S) REQUESTED AND REASON(S) NUN4ER OF PARKING SPACES REQUIRED "Agen't oi� Applicant (Z 1 Date cAfortms\plan\cupa. doe CONDITIONAL USES MINIMUM REQUIREMENTS 1. Receipt for filing fee ($150.00 or $75.00 for in -house child care - min. 7 children). to 2. Sixteen (Mb) 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 (10) copies of revised site plan will be required. I 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: Conditional Uses: (check one) ❑ Child Care ❑ Duplexes (R -3) • Convolescent Homes ❑ Telecommunication Towers (A -O, A- • Medical Clinics P, M -1) ❑ Pharmacies ❑ Fratemity /Sorority Houses (R -5, R-6, ❑ Public Libraries C -1, M -1) ❑ Community Buildings ❑ Group Housing (R -5, R-6, C -1) ❑ Municipal Service Facilities ❑ Funeral Houses (C -N, C -NG, M -1, ❑ Sanitariums M -2, A -P, C -3) ❑ Nursing Homes ❑ Large Recycling Collection Facilities ❑ Parking Lots (C -NG, A -P, C -1, C -2, C -3) ❑ Telephone Exchange ❑ Apartment Hotels (C -1) ❑ Veterinary Clinic ❑ Hospitals State how the following issues will be addressed: 1. Parking 2. Screening of offensive areas (trash, loading areas, transformers, utility connections, detention ponds, etc.) 3. Traffic Impacts 4. Protection of neighborhoods