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P5.. <br />: -K <: '' <br />-1 <br />-fc; <br />cm OF aoNO, ni »___ <br />Oonditional Use and VSarianoe Applies 1 ,*! <br />! -• ^ f # C <br />I 1 <br />(or pEqperty) <br />d <Lwm: <br />'A •• '• ■ <br />APIL <br />TiPBOP mjOBBS <br />___ CbnditlGnal Uie <br />X VSulanoe <br />Date pfoperty was acjpiiTed^y^'y* *7? I <br />> A <br />« <br />Js> <br />^ ____ Vtetlanda Varianoa <br />^ Pas <br />/ 'Td ^ /r; u. <br />;OMBt <br />> •.Phene « <br />P3D <br />■a.-''- <br />«' ■ <br />Zoning M-/A Present Use . <br />Zoning CMinanoa Section Relating to Request <br />FOR OFTICIAL USE <br />Council action <br />Date <br />.• C*[Y <br />Approved <br />Denied <br />'\'SapeiZy Ododinanoe Reqpiixements ^ /t-A fj <br />•' <■Bqplain Request Relative to Requirenents <br />^ rr\—> 7^. A <br />«... <br />Setaant of Nan-can£c98mLty -rf-.r-9 <br />* • <br />i!.. <br />Wmdstlips to Property IL VI-^r <br />e^-0» W *-• -w7 <br />■’ <br />« * r* ‘ ♦ .'* <br />M^usk IAL ICCESSARy FOR OQFfflETE AFPLIGAHOI <br />(Mist be submitted 1 week prior bo Council rfeeting) <br />' <br />1. Applioation oonpleted <br /><Z« Plat Map Section <br />Survey (Sketch in proposal) <br />Abstractor's Certificate of l^coperty <br />exmers VJithin Zi^Ft. <br />no paa iPb5. $30.00 Fee <br />DM*a? ,!9 7^:Signature <br /></«> /* <br />’ V