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nu <br />? <br />crens? <br />led on <br />>re <br />OTHER APPLICATIONS - CONT. <br />-_ _ _ _ $250.00 Rezonina <br />$200.00 Appeals <br />Other - see fee schedule <br />PRESENT USE OP PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />DESCRIPTION OP REQUEST <br />Describe request in detail: <br />— Other (specify <br />See Attached <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />3. <br />Certificate of survey. — ox^ uj /opjdk .O <br />Construction plan, if applicable. <br />Plat Map. <br />APPLICANT'S SIGNATURE <br />information required orrequested by the Zoning Administrator" agrees to narall 5.2, =n, <br />Applicant * s signature ^ <br />OWNERS SIGNATURE <br />Date /o/-zr2l /yC <br />?nve"sUgat?oran“ v?rifTcat^ members f or' puTposet" of <br />Owner's signature <br />f^t>"»ittals into thV~c7t;'~o'f7iZ