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put*"*'- <br />{o O <br />^^i.*>. /T A' ^ <br />(i <br /># • <br />d <br />.//// - ‘ / <br />CITY OF 01U)N() <br />GENKRAl. IJ^Nl) UilF AI’l’l.lCATlON <br />(V <br />PROPKKTY LOCATION <br />Site Address / Un ^ <br />/c -m - ^3 "/2 -^<'/s <br />Property Identification Number (P.I.D.) >0 • ,tr • j* fi- *’<•* <br />Please check one -- Is th<' property abstract or torrens? <br />(for Conditional Use Applications only) <br />Please attach legal description to application if not included on required <br />survey. <br />APPLICANT <br />Na ::.e T He •« 'ipAliJl f. 'i j _ _ Phone 7 '•* _ _ _ _ _ _ _ _ <br />Mailing Address Hc- HPl r < 1 £• t> ^ ^ <br />OWNER <br />Name <br />'?•■■/ A’ < ^71<f'7S, Lr r-d>.'/v; ^ i. ). cr^ Phonc ' <br />Hailing Address 'S^C L <br />Date Property Acquired c/ c:-C/ <br />' t*(month/yoar) <br />* ^ • ••* <br />I (<k>) also own the adjacent parcels of land. <br />FEES - Conditional Use Permits <br />$100.00 a) Residential Accessory Use <br />$10^.00 b) Institutional (church, school, etc) <br />$100.00 c) Duplex Credit/B?.dg <br />d) Land Alteration (grading, filling) <br />$150.00 c) Commercial/Industiial Use. <br />PRD/PID - sec foe schedule <br />3. ;s rb'' Ihs i <br />Other Applications <br />_ _ _ $200.00 Vacation <br />$250.00 Rezoning <br />/_ <br />Other - see fee schedule <br />OCT 2 5 19^= <br />I I <br />9 ^ J U • U U w IIJL * * <br />'sTooTo^ Appeals / ^ <br />(over)