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FlKSESiT DSB OF PHOPKUnt <br />?r«»ert Icnirg r<i«trlc UR - 1A3 <br />Pr«f«.nt C»« cf Prej'^rty lal <br />___________ Ct^«r (specify) <br />DKOamOH OP RBQOKT ^ ^ ^ , <br />Cescrifc* r«qu«»t in detail: S~TC^^ I i^kIK <br />RAlS .XlulAr; Z3a^A&.:£^ <br />______________________________________ <br />......................................................................-........................."AtA»"HCfjaatc‘ - • <br />REQUIIUBO SUBMITTALS <br />1, ✓Cce?pl«t«d Acpllcatlcn Fora, <br />2. fc^«rtifl«d Property Cwr.«ri -l»t of ovnort vlthln 3!0* (you can obta: <br />thla li»t frco Eonnapin County Dopartaont of Flnanco A-f03 Covornaar <br />Cantor 34l~327l), <br />uPIat Map. <br />vcartiflcata of aurvay (si^ad by a llcaniad aurvayor). <br />»-?cpooraphlc aurvay (axlitino and propoaad contour*) if land <br />altaraticn* involva change* in alavatlcn (grades). <br />-Ccnatruction plan. If applicatla (*ee atiff for requireaant*). <br />A* an addendua to thi* applicstion, plea** attach a separata li*t of <br />any ether paraon* you wish notified of thi* application. <br />5. <br />4. <br />5. <br />6. <br />7. <br />TOO ARB RBQOIRBD TO SUPPLY 30 COPIBS OF LAPGB CCCUMBHTS OR <br />A MORRXHG COFT (11* X 17* OR SMALU9U FOR ALL OOCUMBKTS SUBMITTBD. <br />The applicant and Proparty Owner nu*t *igc thi* application. Plea** <br />rascsber that your application i* not conplet* if th* above Information ha* <br />not been included. <br />Certification by Clerical Department that Land Use Application 1* complete. <br />Initial* of Clerical Stafft _ _ _ _ _ _ _ _ _ _ Date_ _ _ _ _ _ _ _ _ _ <br />AFPLICAHT*S SIGKATURB <br />Th* applicant hereby agree* to provide all information required or <br />requeeted by the Zoning Adainiatrator, agree* to pay additional fee* (staff <br />time not covered by original fee peynent) and/or unusual expense* incurred <br />in review of thi* application, and certifies that the information supplied <br />i* true and correct to the best of his/her knowledge. <br />Applicant** signature Date <br />OWfERS SIGMATITRB <br />The owner hereby acknowledges and agrees to this application and further <br />authorised reasonable entry onto the property by City statf, consultants, <br />agents, connission raembers, and Council members for purposer of <br />investigation and verification of this request. <br />Owner's signature <br />V CL .4. A A. VrO u A. Wil WL • w. • # <br />_________ Cate W / 93 <br />Applicant must have all submittals into the City office* 25 days before the <br />Planning Cemmissien Meeting. Planning Commission Meetings are held on th* <br />third Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Commission and Council. If an applicant is <br />unable to attend a scheduled meeting, please make arrangements to <br />authorized agent attend in your place and advise the Building 5 Zoning <br />Office of thi* change prior to the meeting.