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r <br />Application H <br />Date Received <br />Amount Paid ^ <br />PROPERTY LOCATION <br />Siieaddress 3^^^O/Zo/Oa <br />Property Identification Number (PID) (1'i'- //I — Zl '"2.1 '~00'2-0 <br />Please check one - Property K abstract or____torrens? <br />^^^p^ttach legal descriptionTd^pplication. <br />APPLICANT <br />Name Ai- <br />Address <br />City__ <br />^•7^ do Phone (home) <br />d Zip5^;a 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 />/fi <br />3,3/ <br />/. 2 <br />Present use (check) <br />Present Zoning District <br />PROPOSAL <br />XT <br />Acres Dry Land <br />Acres Wet Land <br />Acres Total, all parcels <br />Residential; no. of units <br />Other (specify)______ <br />;• <br />* A<-/a .V <br />_____ Division for Tax Purposes <br />_____ Lot Line Reairangement Only (no new buildling sites) <br />X Subdivision for New Building Sites <br />_Existing Units <br />_New Units <br />Total Units <br />i <br />Number of Building Sites / <br />Z . <br />>.* <br />*• <br />Proposed Gross Density <br />Minimum Lot Size <br />Proposed Use (check) <br />Units per >__AcresUiUld M <br />Sq. Ft. Dry Buildable Land 1$/2. zS' Ac <br />X Residential <br />_ Other (specify)