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Application (99-728)
FOR OFFICE USE ONLY CASE NO. G - 7 DATE SUBMITTED C c CONDITIONAL USE PERMIT APPLICATION (GENERAL) ciq _ 15 Minimum Requirements $150.00 application fee (or $75.00 for in-house child care - max. 7 children). Ten (10) copies of site plan which includes requirements for site plan proposals as listed on attached sheet. This site plan will be reviewed by Staff, after which ten (10) 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, ages of children, church members, etc., as applicable. /U 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. 1 9' Use Only 13 Site Plan Only O Site Plan and Use Conditional Uses: (check one) O Community Buildings O Apartment Hotels (C-1) Q Convalescent Homes O Bed and Breakfasts (NG-3) O Hospitals Q Convenience Store (C-B) O In Home Child Care Q Dry Cleaners (C-B) * Medical Clinics Q Duplexes (R-3) * Municipal Service Facilities V Fraternity/Sorority Houses (R-5, R-6, C-1, C-2, NG-1, NG-2, NG-3, M-1) Q Nursing Homes O Funeral Houses (C-N, M-1, M-2, A-P, C-1, C-2, C-3) Q Parking Lots Q Group Housing (R-5, R-6, C-1, C-2, NG-1, NG-2, NG-3) Q Pharmacies Q Large Recycling Collection Facilities (C-NG, A-P, C-1, C-2, C-3) Q Public Libraries O Major WTF (AD, AP, M-1, R&D, C-1, C-2, C-3) O Sanitariums Q Restaurants (C-3) Q Telephone Exchange O Telecommunication Towers (A-O, A-P, M-1) Q Veterinary Clinic O Other (Specify ) NAME OF PROJECT I <4PP& P647iA- 5o&o2 ; Y ADDRESS ~ CSC U Al l y/52S iT , , I= 4-Z n 0 v ~ r~ r,. ~ srn 77S'ya LEGAL DESCRIPTION APPLICANT (Primary Contact for the Project): Name r2 t -7-A 1-L. © 6 e, P--' StreetAddress C J e Z4_i5 City (l o Lt','r r 5~ /f State -iX Zip Code 7 7S L4 S E-Mail Address Phone Number W 0 9 - & q0 ~ l G I Fax Number PROPERTY OWNER'S INFORMATION: Name OO Al A-1-77 !3A Ll _D 7 4 kD V4X of CO Street Address 1'713 r3 Rr) A D/hD o.4 S u TF. City R ~4 State -r ( Zip Code 77~ D~ E-Mail Address Phone Number ?7 -V Fax Number CUP - GENERAL 1 of 3 CUPAGEN.DOC 03/25/99 ARCHITECT OR ENGINEER'S INFORMATION: Name Street Address City _ E-Mail Address Fax Number State Zip Code Phone Number OTHER CONTACTS (Please specify type of contact, i.e. project manager, potential buyer, local contact, etc.) Name Street Address State Zip Code Phone Number City E-Mail Address Fax Number PRESENT USE OF PROPERTY C, Jy `-P;0 g C/e .Ieap PROPOSED USE OF PROPERTY m re L`7 ,N 0- , ff► a5 r G ,f 7' T mpagmj L, ~IV 7-11- nag" CURRENT ZONING OF PROPERTY C VARIANCE(S) REQUESTED AND REASON(S) NUMBER OF PARKING SPACES REQUIRED (o p NUMBER OF PARKING SPACES PROVIDED S ~ O RESIDENTIAL Q COMMERCIAL Total Acreage Total Acreage Housing Units Building Sq. Ft. Floodplain Acreage APPLICATION WILL NOT BE CONSIDERED COMPLETE WITHOUT THE FOLLOWING INFORMATION ADDRESSED: State how the following issues will be addressed: 1. Parking. 0TN'1'e1 O)&9)o_1t45 A-" ~~SLeA A,T A))C.J4r- Lr)1~ ls'12L5 )z Z, t, 'I' e M61/4-7-Ia 6- 2 Screening of offensive areas (trash, loading areas, transformers, utility connections, detention ponds, etc.). CUP - GENERAL 2 of 3 CUPACEN.DOC 03/25/99 3. Traffic impacts. 4. Protection of neighborhoods. AJ14 I verify that all of the information contained in this application is true and correct. Signature of Owner, Agent or Applicant CUP-GENERAL CUPAGENMOC 03/25/99 °/z2sr/Qg Date 3 of 3