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• %s <br />eiinr or orao <br />#697 ']vHEBn <br />!aiMPlVIglOM APPLICATIOW rom <br />EXHIBIT <br />data r«c*4 <br />APPLICAMT N <br />Mailing ^ <br />Address At <br />PROPERTY Nsae <br />OMMERS Mailing <br />Address * _ _ _ ________ <br />(Attach list ox acre than one) <br />PROPERTY LOCATION <br />Street Address <br />tT" V J:,Legal Description _______ <br />(Pio) ^7 ^//7 <br />_ Telephone <br />>S3 <br />i ' AEXISTING LAND OSS <br />V ■ <br />RuRber of Tax Parcels <br />OevelopaeRt site <br />/ <br />Si <br />Present Use (check) <br />Acres Dry Land <br />Acres Net Land <br />Acres Total, all parcels <br />Residential! no. of units y <br />Other (specify) _ _ _ _ _ _ _ _ <br />Present Soning Dist. <br />PROPOSAL Jl^ lot line rearrsngesMnt only (no new building sites) <br />subdivision for new building sites <br />_ _ _ existing units <br />\V, : rf <br />I <br />it <br />nipber of building sites: <br />I'-' <br />proposed gross density <br />mininuM lot size: ^ <br />proposed use: (check) <br />new units <br />total units <br />units per acres <br />! ‘ <br />square feet dry buildable land <br />residential <br />other (specify) _________ <br />MINIMUM MATERIAL NECESSARY FOR COMPLETE APPLICATION <br />(Must be subsiitted 10 days prior to Planning Conaission nesting) <br />Appllcatloo coepletcd <br />W^2. Pralieioary Flat Inforaatlon on <br />a cartiflcata of aurvay <br />Cartlflad Proparty (kmer'a Hat of <br />ownars within 350 ’ - froe Hannapln <br />Co. Dope, of Pinaoca A-603 Covam- <br />■Mit C#;jC9r <br />Stai^ad. lasal alaad anvalopaa (#10) <br />pra-addraaaad to aach of tha naMa on <br />tba above Hat. <br />5. Application fee per current fee schedule: <br />aketch plan only $50.00 <br />2 lot pralie. plat <br />m <br />3+ lot prallm. plat 200^00 <br />(sfcatcb plan Inclwdad) ♦ $10/1®* <br />Additional luproviant <br />raViaw faaa par faa <br />achadula $, <br />DATE <br />'r DATE <br />APPLICANTS SIGNATURE <br />onnir's SIGMATORB <br />; Appliosnt'^ hsrs^sgrees to <br />3s SottiiiN AdiSistrstor, City <br />tim rsouired or <br />strstor. City NOfA^r, ^wvssry to yroosss this sppliestion end further egroos w r-* <br />§mmm Mtehliehed bv ordlnBnes.