HomeMy WebLinkAboutApplication05/19/99 11:47 0 409 764 3496 DEVELOPMENT SVCS 002
FOR OtF Fi USE y
CAME NO.
DATE SQBBUI-MD
CONDITIONAL USE PERMff APPLICATION
. (GENERAL)
Minimum Requirements
l,~kit o' 5150.00 VPUC2ti0U fac (or $75.00 for in~ clad care - max. 7 &1&=).
_ 'Ica (10) copies of site plan which looludc4 r+p omnonU for site plan proposals as listed On atiaehed sheet, This
site plan will be reviewed by Sta$ a&r which ter (lo) copies of revised site plan will be required.
n wed ProP~d use including hours of operation, a:aticiPated traffic, -bey or,.,,
' children, ages of ehrldn m, ch rch members, etc., as applicable.
If Sign is planned for project, site plan sbould include sign elevation and details. if sign details are not
included oa plaus subr:titted with this appli=km, any future sign may have to be considered as a separate
eoudi6ona use permit and all of the b., roq~ mist be reneaLed_
Use only
Conditional Uses: (check one)
0
Community BuikUcgs
O
Convalescent Horrm
o
HoWitalc
O
In Home Child Care
0
?.d cal Clinics
O
Municipal Service Facilities
Cl
Nursing Hvmcs
0
Pariigg Lots
O
Pharmacies
d
Public Libraries
O
Sanitariums
O
Telephone Exchange
a
Varinary Clinic
NAME OF PROJECT
ADDRESS 1j n Z
LEGAL DESCRIPTION n, .
a Site Plan Onl d Site Plan and Use
0 Apartment Hotels (C-1)
O Bed and BmUasts (NG_3)
0 cmvwicace stole (C-B)
Cl Dry Cleaners (C-B)
0 Duplc= (R-3)
O Fratem4/Sorority Houses (R-5, R-b, C-1, C-2, NG-l, NG-2, NG-3, M-1)
d Funeral Houses (C-N, M-1. M-2, A -P, C-1, C-2, C-3)
O GmuP Housing (R 5, R-6, C-1, C 2, NG 1, NG2, NG-3)
O L%V Recycling Collection Facilities (C-NC, A-P, C-1, C-2, C-3)
O Major WTF (AD, AP, M-1, R&D, C-1, C-Z, C-3)
O Restauranu (C-3)
O Tcocoununicatim Towcxs (A-0, A -P, N f-1)
O Other (Specify
APPLICANT (Primary Coetart for the Project)-
Name o s/ i'2rrt S~►,~.,ca
Stzect Address k rYl )on City C'
sty ~Z` z code
- 7-7,qly.~_ E-Uail Address
Phone Number 11,44 72 Fax Number
PROPERTY 0AVNER'S INFORMATION:
Name k1 ~ans~ ,
Start- Zip Code
. E-Mail Address
A*= Number D g , _ $ ~v Fax Number
CUPAQEK VM 03a5M I of 3
05/19/99 11:47 %2409 764 3496 DEVELOPMENT SVCS Z 003
ARCHITECT OR ENGINEER'S INFORMATION:
Name MP
Su ca Address City -
stag ZIP Code E-Mad Addrcss
Phan Number Fax Number
OUTER CONTACTS (Pkase y type ofW=ct, i.e. project =nager, poteutiai buyer, local =tack ctc.)
Name
Sfta Addms City
State Zip Code E-Mail Address
Phone Number Fax Number
PRESENT USE OF PROPERTY
PROPOSED USE OF PROPERT
CURRENT ZONING OF PROPERTY
VARIANCE(S) REQUESTED AND REASON(S)
NUMBER OF PARKINGi SPACES REQUUMD _ CC C j Per 2. i-o 1q
NUMBER OF PARKNO SPACES PROVIDED 2
O RESIDENTIAL
Tote[ Acreage z,
Hawing Units
P COMMERCIAL
Total Acreage
Building Sq. Ft. j _
APPLICATION WIY,L NOT BE CONSIDERED COMPLETE WITHOUT THE FOLLOWING INFORMATION
ADDRESSED:
State how the following issues will be addressed:
1. Pwidng_
0(
1") -Fran
CUP - QUQWAL 2 of 3
CUPAGEN.DOC o31 5M
2 &m=Dg of off=lvc areas (trash, loa&W areas, Mnsf
vrmecs, utility conn0cbv4s. detr:ntion nnnds_ ere )
05/19/99 11:48 0409 764 3496
3. Traffic impacts,
G4rS rc111:',1
6/-6
DEVELOPMENT SVCS
S'
2004
n 4
-OAd
10-0 A 4. Prot=ion of & ighbodtoo&.
I k
u
-
I verify that all of the iafor~n co=bxd iu this application is true and W.M.
7
f , a$eat or li
Date
CUP-GENERAL
CUPAGEN DOC 03*5/"
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