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1 N� FOR OFFICE U�E� Ot
Case No. D I
Date Submitted
COMPREHENSIVE PLAN AMENDMENT APPLICATION
(Check all applicable) ❑ Land Use Amendment IYThoroughfare Amendment
❑ alignment / location
❑ classification
The following items must be submitted by the established deadline dates for consideration:
161$850 application and review fee
N Two (2) copies of a fully dimensioned map on 24" X 36" paper showing:
a. Land affected;
b. Present zoning of property and zoning classification of all abutting properties;
c. Current land use plan classification and proposed land use plan changes;
Current land use classification of all abutting property;
e. Current and proposed thoroughfare alignments
neral location and address of property;
o
tal acres of property; and
d All applicable Comprehensive Plan Amendment Request form(s) completed in full.
The following information must be completed before an application is accepted for review.
APPLICANT INFORMATION:
(if di # fr ow W
Name: M
Street Address: 2
City:
Phone Number:
_ rte / Zip Code: 7 99
PROPERTY OWNER'S INFORMATION:
Name: ,_ / E -mail:
Street Address:
City: State: Zip Code:
Phone Number: Fax Number:
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complete affidavit shall be required)
E -mail:
COMPREHENSIVE PLAN AMENDMENT REQUEST FORM
The following is required if an amendment to the Thoroughfare Plan is requested. Based on the nature
and extent of the requested amendment, additional studies may be required. Attach additional sheets if
necessary.
Current Thoroughfare Plan alignment and classific r1 '
Requested Thoroughfare Plan alignment and classification: A( W6
7-67M
M
How does the requested thoroughfare amengInent further the goals and objectives of the City of
Colie a Station Comprehensive Plan? � is F/C/ e, /w
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Explayp why the requested thoroughfare play phange is more appropriate toan the existing plan.
i
Explain differenceYin the traffic impacts between
requested change to the thoroughfare plan.
existing thoroughfare playa and the
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The applicant has prepare is application and certifies that the facts stated herein and ex ibits attached tQM A�
hereto are tru and c . ,
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Sign re nd Title r .. Date
Page 5 of
Identify what conditions have changed to warran change to the alignment and /or clas ification
as sltown on the existing thoroughfare plan. �� ✓f,-