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M. O i ^-77 <br />CIIY OF , Jbd., MlM^orA <br />Use Application Fee /gy <br />Street lx)cation of Property: <br />Legal Description of Property: <br />IFfaneJ <br />^Vpc of Request:Rezoning <br />Variance <br />Description of Request: <br />Permit <br />S^division Approval <br />Other <br />draw or a.u.di a sxetcn ol proposed sthjcturo shoi/ing t <br />1. Indicate North <br />2. Location on Lot <br />3. Mjac^t Street Namesr* orreet Names <br />■ ^S.I'bSSS."’ <br />« <br />owing: <br />8. Zwiijig in force in this area <br />Exhibit Submit <br />dSir’ the boundaries <br />« Jr «• of the boundarierof Vk« ^ address of the owne <br />“^nanes a^^ar « the tecot^^K “of <br />rezoning <br />tillage recommendations: <br />^^WICW OP PR <br />Address <br /><• i* <br />Legal Desciipti <br />applicant <br />Nane <br />Address <br />OHNER <br />Name -s <br />Address <br />Present Zoning <br />Z«lag Ordinance Sec <br />Specify Ordinance Ite <br />Explain Request Rela <br />Extent of Ncn^onfoim <br />Hardships to Property <br />M <br />(Hist <br />plication conplei <br />Pl^t M^> Secti« <br />^rvey (Sketch in p <br />u2 <br />ismai