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'J( Q O <br />OFORO^O - ilinDIVIsfeN ^SpC ication <br />Application ff________ <br />Date Received n-n-oi <br />Amount Paid ^275 <br />Ol-3'lM3. A <br />PROPERTY LOCATION <br />Sileaddress Zi'iy/nvj e..A ZS2S tu.tlv Aaoioi- <br />Property Identification Number (PID) ------------- <br />Please check one - Property____abstract or <br />Attach legal description to application. <br />torrens? <br />APPLICANT <br />NamejnTSorfvai > X. PutM^arcy^^Ti.______ <br />Address \\Mr\ft V..a>b\VWiftr c»rioMy^ <br />Cit> Hi/vsj rvW <br />__Phone (home) <br />Zip^v^ Phone (work) <br />OWNER (if different than applicant) j <br />Name A.ft “T- <br />Address SC? (^c^\JcCrrc- I <br />JL U^vi-:>.L\r /v\^ : <br />Phone (home) <br />(attach list irmore than one) <br />EXISTING LAND USE <br />Number of Ta.x Parcels <br />Development Size <br />Present use (check) <br />Present Zoning District <br />^'P iSQTJ ’hone (work) <br />3^ <br />Acres Diy Land <br />Acres W’et Land <br />Acres Total, all parcels <br />Residential; no. of units <br />Other (specify)______ <br />PROPOSAL <br />__________ Division for Tax Purposes <br />_________ Lot Line Rearrangement Only (no new building sites) <br />_________Subdivision for New Building Sites <br />Number of Building Sites _________Existing Units <br />_________New Units <br />_______ Total Units <br />Proposed Gross Density <br />Minimum Lot Size <br />Proposed Use(check) <br />_ Units per___Acres <br />_ Sq. Ft. Dr> Buildable Land <br />_ Residential <br />_ Other (specify)_________ <br />ObsK)ar 9 Cojt^(-%). <br />a f /Vo >.