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FOR OFFICE USE ONLY
CASE NO._OL - I
DATE SUBMITTED / S G
CONDITIONAL USE PERMIT APPLICATqq 9_U5
ION CO(CHURCH)
Minimum Requirements
$150.00 application fee.
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.
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 ail of the above requirements must be repeated.
Use Only 0 Site Plan Only 0 Site Plan d Use
NAME OF PROJECT
ADDRESS D C d 1'7 I L
LEGAL DESCRIPTION W- o C
APPLIC Contact f r e Project):
Name OC~
Street Address City k' on
state i((~~5 Zip code nE-Mail Address
Phone Number Irib - a3 jq Fax Number
PROPERTY-0rWER'S INFORMAMN-
e ~ +rYC
Name r` 31 c^ VIA -e
Street Address 1 Jam? 4 2- City
r7 J 7 ® _ E-Mail Address
State 77z`/C ~5 Zip code
Phone Number Fax Number
ARCHITECT OR ENGINEER'S INFORMATION:
Name
Street Address _ City
State Zip Code E-Mail Address
Phone Number Fax Number
OTHER CONTACTS (Please specify type of contact, i.e. project manager, potential buyer, local contact, etc.)
Name
Street Address City
State Zip Code E-Mail Address
Phone Number Fax Number I A N n r
CUP - CHURCH of 2
CUPACHUR 04/14/99
PRESENT USE OF PROPERTY L~aI 9a, 'J, ~
PROPOSED USE OF PROPERTY
CURRENT ZONING OF PROPERTY
Total Acreage DS~ Building Sq. Ft. Floodplain Acreage -
VARIANCE(S) REQUESTED AND REASON(S)
NUMBER OF PARKING SPACES REQUIRED -lS
NUMBER OF PARKING SPACES PROVIDED
APPLICATION WILL NOT BE CONSIDERED COMPLETE WITHOUT THE FOLLOWING INFORMATION
ADDRESSED:
1. Approximate the distance to the nearest ni t clubs, restaurants, and retail commercial establishments.
Na4 CL6
v -
2. Discuss the possible necessity for screening (fence or vegetation) between the subject site and adjoining residential
properties.
3. List all incidental uses along with hours of operation (including but not limited to school, day care, sports activities,
etc.)
SI~.nCL q : ~-m - - m
I ToDmo-qprn
-
And 5: -
I verify that all of the information contained in this application is true and correct.
Signature of Owner, Agent or Applicant Date
CUP - CHURCH 2 of 2
CUPACHUR 04/14/99