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PRESENT DSE OP PROPBRTI <br />Present Zoning District r-tr <br />Present Use of Property _ _ _ _ Residential <br />Other (specify)_ <br />DESCRIPTION OF REQUEST ^ <br />Describe request in detail: ^a <br />_ _ _ _ _ _ _ _ _ _ _ _ _ _ C. \/a ^ ^rr I A. ry . <br />O J <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />Certified Prop'''t'> Owners List of owners wxthin 350' (you can obtain <br />this list from He »epin County Department of Finance A-603 Government <br />Stamped?^ legaV sized envelopes (#10) pre-addressed to each of the names <br />on the above list «/ith no return address. <br />Certificate of survey. . . , , j <br />Topographic survey (existing and proposed contours) if land <br />alterations involve changes in elevation (grades). <br />Construction plan, if applicable (see staff for requirements). <br />Plat Map. ^ .. -I jAs an a^”9ndum to this application, please attach a separate list OE <br />any other persons you wish notified of this application. <br />The applicant and Property Owner must sign this application. Please <br />remember that your application is not complete if the above information has <br />not been included. <br />Certification by Zoning Department that Land Use Application is complete. <br />Zoning Officials Signature _ _ _ _ _ _ -_ _ _ _ _ _ _ _ _ _ _ - -—- - - - - - <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />APPLICANT'S SIGNATURE , , . tThe applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees to pay all fees and/or <br />unusual expenses incurred in review of this application, and certifies <br />the information supplied is true ajnd correct to the best of his/her <br />)cnowledge. <br />Applicant's signature <br />OWNERS SIGNATURE F„r-.^K-r-The owner hereby aclcnowledges and agrees to this application and further <br />authorized reasonable entry onto the property by City staff, consultants, <br />agents, commission members, and Council members for purposes of <br />investigation and ver^.Xication of this request. <br />owner's signature _____________ Date --- <br />unable to attend a scheduled meeting, please malce arrangements to have an <br />authorized agent attend in your place and advise the Building S Zoning <br />Office of this change prior to the meeting.