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. I* * I If <br />' Ci^ <br />PHHSKNT USK OK I’KOrilKTY <br />Present Zoniiuj District <br />Present Use of Property Residential <br />Other (specify) <br />DESCRIPTION OF REQUEST <br />u, C&D^^ril^e ^quept ;in deta j 1: X.J <br />u/ <br />^ / <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />2. Certified Property Owners List of owners within 350 ' (you can obtain this list <br />from Henne^.in County Department of Finance A-603 Government Center 348-3271) <br />3. Stamped, legal sized envelopes ( #10 ) pre-addressed to each of the names on the <br />above list with no return address. <br />4. Certificate of survey. <br />5. Construction plans, if applicable. <br />6. Plat Map. <br />The Applicant and Property Owner must sign this application. Please remember <br />that your application is not complete if the above information has not been <br />included. <br />APPLICANT’S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by <br />the Zoning Administrator, agrees to pay all fees and/or unusual expenses incurred <br />in review of this application, and certifies that the information supplied is true <br />and correct to the best of hj.s/her Knowledge. <br />_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _Applicant's signature <br />OWNERS SIGNATURE <br />Date 5~~ <br />The owner hereby acknowledges and agrees to this application and further <br />authorizes reasonable entry onto the property by City staff, consultants, <br />agents, commission members, and Council members for purposes of investigation <br />and verification of this request. <br />G?Owner’s signature It,AATTlOy^----^Date <br />Applicant must have a]l submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are held on the third <br />Monday of each month. . . . . ... . . . . . . . . . . . ... . . . . - ■ _ _ _ _ _ _ _ <br />•t