HomeMy WebLinkAboutApplicationsCASE No. USE ONL:
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DATE SIIBMIITED
SITE PLAN APPLICATION
MQNIMUM SUBMTITAL REQUIIt AMNTS
ite plan application completed in full.
$100.00 Application Fee.
$100.00 Development Permit Application Fee.
$300.00 Public Infrastructure Inspection Fee if applicable. (This fee is payable if construction of a public
waterline, sewerline, sidewalk, street or drainage facilities is involved)
Ten (10) folded copies of site plan-
A copy of the attached site plan checklist with all items checked off or a brief explanation as to why they are no
checked off.
APPLICATION DATA
NAME OF PROJECT
ADDRESS
LEGAL DESCRIPTION
APPLICANT (Primary Contact for the Project):
Name Me °5 /3,
" Street Address Z-? " rfcJ City
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State I Zip Code 7 }C3 E-Mail Address
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Phone Number, 7, 194 f, h l ef .3 Fax Number 5s
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PROPERTY OWNER'S INFORMATION:
Name ,s
Street Address " , 7 /t v e .;117 ~4- "y City
State ,y Zip Code `72 L '2 E-Mail Address
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Phone Number of 7--' 9',IjZ~ JJ /,Q3 Fax Number ~ if >
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ARCHITECT OR ENGINEER'S INFORMATION:
Name" .
Street Address / ~t ~ A
L^ { >;t /4 City
State ~l j, Zip Code E-Mail Address
Phone Number Fax Number ?~r r 6
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OTHER CONTACTS (Please specify type of contact, i.e. project manager, potential buyer, local contact, etc.)
Name NU ftf g..
Sm_-E Address City
State Zip Code E-Mail Address
Phone Number Fax Number
SITE PLA APPLICATION
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SITE--kPP-D>".~C 03/25:90
CURRENT ZONING
r PRESENT USE OF PROPERTY
PROPOSED USE OF PROPERTY
VARIANCE(S) REQUESTED AND REASON(S) r--
# OF PARKING SPACES REQUIRED # OF PARING SPACES PROVIDED
O MULTI-FAMILY RESIDENTIAL COMMERCIAL
Total Acreage
Total Acreage---
Floodplain Acreage
Housing Units
# of 1 Bedroom Units
# of 2 Bedroom Units
# of 3 Bedroom Units
# of 4 Bedroom Units
FOR 2 BEDROOM UNITS ONLY
# Bedrooms 2:132 sq. ft.
# Bedrooms < 132 sq. ft.
Building Square Feet
Floodplain Acreage
The applicant has prepared this application and certifies that the facts stated herein and exhibits attached
hereto are true and correct.
of Owner, Agent or Applicant
SITE PLA` APPLICATION
SrrEAPP.i)O,(' n3r?1/"
Date
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