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Application ff <br />Date Received <br />Amount Paid ^ <br />PROPERTY LOCATION <br />Site address 3"75Z^ ^recA>a <br />Property Identification Number (PID) 0^^//l—2-^ ^2-! '^00‘2-Q <br />Please check one - Property K abstract or____torrens? <br />^^^^Attach legal description tolipplication. <br />APPLICANT <br />Name 0h £(/h. <br />Address <br />City__ <br />Phone (home) <br />dZCifOD.Ziv5<3S\, Phone (work) <br />OWNER (if different than applicant) <br />Name <br />Address <br />City__Zip <br />Phone (home) <br />_ Phone (work) <br />(attach list if more than one) <br />EXISTING LAND USE <br />Number of Tax Parcels <br />Development Size <br />/ <br />‘2 -t <br />/. 2 <br />V. S'/ <br />Present use (check) <br />Present Zoning District <br />PROPOSAL <br />X' <br />Acres Dry Land <br />Acres Wet Land <br />Acres Total, all parcels <br />Residential; no. of units <br />Other (specify)______ <br />* • <br />_____ Division for Tax Purposes <br />_____ Lot Line Rearrangement Only (no new buildling sites) <br />X Subdivision for New Building Sites <br />_Existing Units <br />_New Units <br />Total Units <br />Number of Building Sites / <br />/ <br />•X:’ ' <br />Proposed Gross Density <br />Minimum Lot Size <br />Proposed Use (check) <br />Z____Units per >__Acres <br />X <br />UiUld pCi ^y <br />Sq. Ft. Dry Buildable Land 2. zS' A-c <br />Residentid —---------------- <br />Other (specify)_________