HomeMy WebLinkAboutApplications05/11/00 13:59 $409 764 3737 CS PARKS & REC 0 002
rOR oTFICL USE ONLY
CASE NO. OCR 9y
uari; susM~rrTrn
COND1 TIONAL USE PERMIT APPLICATION
(GENERAL)
~~ Minimum Requirements
__:_ $150.00 application fcc (or $75.00 for in-house child care: 7 - 12 children}.
__ _ Ten (10} copies of site: ~ lan which includes rcquircincnts for site plan proposals as listed on attached sheet.
This sire plisn will (~~ c'eviewed by Staff, after which ten (10) topics of revised site plan will be required.
_ _ Detailed explaiZadott of proposed use including hours ~f operation, atslicipated traffic, number of employees,
lumber of students, chi dron, ages of children, church members, etc., as applicable.
__, / if sign is planned for pr eject, site plan shotl[d include Sign clevatian anti detail.. If sign cleli3ils; are not
included on plans sub~r .tted with this application, any future sign may have to be considered as a separate
conditional use pcrmi~. ~ nd all of the above requirements must be repeated.
ni
Us ~ Only L> Site Plan Only O Site Plan and [Jse
t:~,~nditional Uscs: (chcc~ ane)
G Conununity Buildings O Apartment Hotels (C-1)
C~ Convalescent Ilomes Q Bed and Breakfasts (NG-3)
CI HasPitals O Convenience Stare (C-B)
C~ !n Hamc Child Care rl my Clcar~ers (C-B}
CI edical Clinics Q lluplcxcs (k-3)
Municipal Service 1'acilitie CI FraternitylSomrity Houses (R-5, R-6, C-l, C:-2, N{r-1, N(.i-2, NG-3, M-1)
I Nursing Homes Q Funeral Houses (C-N, M-1, M-2, A-P, C-1, C-2, C-3}
CI parking Lots Q Group Housing (R-~, R-6, C-1, C-2, NG-1, NG-2, NG-3)
CI Pharmacies Q Large Recycling Collection Facilities (C-NG, A-P, C-1, C-2, C-3)
CI Public Libraries O Major WTF (AD, AP, M-1, R&D, C-1, C-2, C-3)
CI Sanitariums O Restaurants (C-3)
C f Telephone Exchange Ca ~elecommunicationr 9wers -O, A-P, M-1)
CI Veterinary Clinic Other (Specify ~j ~, )
1` f. ~ -NIE OF PROJECT Imo'
~:: )DRESS ~ L.. °~}
L.I;=GAL DESC1~iPTTON `_
~,E'PLICANT (Primary Ccmtac for the Pia~ect):
Natne - e ~
Street Address ~,Y } ~~~~~
Stine ~ ~f~,L Z: ~ Code
Phone Number _- ~'~ ~ ~
F"~:OPERTY OWN . 'S 1NFC RMATION:
-.~
Name
~~- City ~3~%~T± ~-~ ?~'~~~.1--
_ E-Mail Address p~;;~,ZC~.~~~Ci~' ~b~~~•$.~S~;orF,
1 .fix- ~
Fax Number ~,~~~ '~~~-• ~~~~
Street Aclcir~ss ____~~= "` _....~~.._
City ~' ~,~ `~~`$~1
State ~ ~ :T p Code~~~~ E-Mail Address
t ~f z
05/11/00 13:59 $409 764 3737 CS PARKS & REC
._~
•~ Phonc Number tax Number
n~~.CrirTECT OR ENGINEEit 51NFORMATiON:
Name
5trcct Address
~ 003
City
State [.i i (;ode E-Mail Address
Phonc Number Fax Number _. .
C~ I'IILR CONTACTS {Please : ~eeify type of contact, i.e. project manager, poten~.ial buyer, local contact, etc.)
Name ~'` E~~: t~j~,G~-Lf~~ y2 .~'~~ ~JJ~P~t'dLl~ r~"~>~~............._.
Strcct Address ~~ ~~~ ~'~-~ ~~~~` City ~'.,/_3(,.ai.~~i ~'~T~~~~-
Statc ~_ Zi ~ Code ? E-Mail Address
Phonc Number ~~~ r .~~j ,~.~ 1'ax Number
~~:i:ESLNT USE OF PROPER Y _. ~~~~ l;~~y7r~.
I';i:OPOSED iJSE OF PROPf33 :TY _,. `x`~~.
c;IJRRENT 70NINti Oi~ PR~C PERTY ~r~r D~~~1~'Ilhs-~ .. .
'~,~RIANCL(S) REQIJL~STEL AND RLASUN{S)
... Sly .._._~ r'l- ~~~
/,
]~ U1ViBER OF PARKING SYt .CES REQUiR.F..n
l~ UMBER OF PARI~].NG Sri .CES PROViDr:L?
O RF,SiDFNTIAL Q COM I~iTRCIAL (ull~ tC.~ ~~
Total Acreage _ _ Total Acreage ~:~,.,
Housing Units _ Building Sq. Ft. ...~
Flood lain Acreage
~~PPLICATION WILL NO" ' BE CONSIDERE33 COMPLETE W1T'HQUT TI•IE FOLi,QWiNG INFORMATION
e ~ DDRESSED:
~ :ate how the following issue wlll be addressed:
1 Parking.
:: Screening of offensive are as (trash, loading areas, transformers, utility connections, detention ponds, etc,).
,•rrn_r:efJroei 2of3
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05/11/00 13.59 $409 764 3737
3. Traff c impacts,
~1004
4. Protection of neighborhood "
CS PARkS & REC
I ~,~;rify that all of the informati ,n contained in this application is tnie and correct.
:~
r
~i;~;natu of caner, Agent or ~ .ppl'c
t 1P • tiENt}tAL
~!- - ~~~
Date
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