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K ^7 A.• ') d ~S.•.* . •% <br />eviewing the application: <br />1 ownership vs <br />relation to the <br />here lot lines <br />^■968 and seller stub <br />» application. <br />Land Use Application <br />uxariw OP proposal (or property) <br />’’ sLegal Description <br />APPLICAMT Maine ^ , <br />Hailing ffm/^f^vfunM Tel #V7</. <br />Address <br />Hailing ’ '/- -pee <br />type op application <br />Sketch Plan Review $50 <br />. Subdivision <br />$150 + $10/Lot <br />Conditional Use Permit <br />_ _ $30.00 <br />_ _ $50.00 <br />Rezoning $250 <br />Vacation $100 (Minimum) <br />^*^«8«nt Zoning / ^ <br />*^ate ltec*d '^///~75ZJ <br />zoning ordln««» Section Relating to Requeat <br />Ordinance Requirements <br />Present Use <br />4- i <br />ZRplain your regneat -U . <br />/ y.. y.i / ^ -cJfrh:^ J <br />2,srs.“’ <br />_ _ Other,Side <br />Specify hardships to <br />explain Rear <br />proj <br />SUBDXVZSIOM application Residential Other, explain <br />Ho. of Lots <br />•ITIO^ USE AMD OTHER - e^iai„proposed use of detail <br />Application completed <br />Plat map section <br />os: survey of propertv <br />eketch location and setbacks of <br />proposal <br />Construction plans, if applicable <br />DATE 7 ~ if— Vr) <br />‘=“- ».Pt. of Pin«,ce <br />A 603 Government Center <br />sized envelopes (#loj <br />®®®^ the^nameson the above list <br />DATE <br />Applicant's Signature <br />•s. <br />Owner's Signature <br />Applicant hereby agreeT toTrovld« 1-- - - - - - - - - --- - - - - - - - - <br />•11 fees as established by ordinance. farther agrees to pay <br />5/78