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A <br />Application # c1"3, ::> <br />Date Received 4 /J <,e 19 7 <br />Amount Paid :s e15o.o-iJ <br />-- <br />CIT <br />PROPERTY LOCATION <br />Siteaddress 3,SV folrt 5>;orc f..o/ OR.ONO <br />Property Identification Number (PID) Q_y //]--:-23 -2 / ~00"2. 0 <br />Please check one -Property X: abstract or · torrens? <br />ttach legal description to , pplication. -- <br />APPLICANT <br />Name C Aers-h~e= /h . cJ Mf?fZLv'{. -~'-'-'-'=-'--"'---____..:;;..----'---'"-'--'--'-=.:..=;.:_=---='--------------r---- <br />Address _3-,7--'-=SV-=------'13"--~'---l=-_:....;:;o::...::'E=--__,f2,,o'-=--'-==---------Phone (home) Lf '-!, -~ 7 <br />City Jeof\)Q) ff\,,u Zip 5S'3TI. Phone (work) l/7J:-!2a:3 r <br />OWNER (if different than applicant) <br />Name -----------------------------Address __________________ Phone (home) ___ _ <br />City ________________ Zip __ Phone (work) ... -,e•• <br />( attach list if more than one) <br />EXISTING LAND USE <br />Number of Tax Parcels <br />Development Size <br />Present use ( check) <br />Present Zoning District <br />PROPOSAL <br />I <br />$ . .?/ <br />/. 2 <br />X <br />Acres Dry Land <br />Acres Wet Land <br />Acres Total, all parcels <br />Residential; no. ofunits ___ _ <br />Other (specify) ___ _ <br />~.A-/~ .t-fil(-hf <br />Division for Tax Purposes <br />Lot Line Rearrangement Only (no new buildling sites) <br />X Subdivision for New Building Sites <br />Number of Building Sites I Existing Units <br />New Units -~-- <br />'2.. Total Units <br />.I <br />~ . ,i <br />'! <br />_,, <br />Proposed Gross Density <br />Minimum Lot Size <br />Proposed Use (check) <br />Z Units per /:" Acres <br />--=---Sq. Ft. Dry Buildable Land (;/, 23/2 z9' t4-c <br />---'-X__,___ Residential <br />____ Other (specify) ___ _ <br />10