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Application CITY OF COLLEGE STATtON p&Z CASE NO. ~7- ~~~ acJ.t, /0.3 f7 ,. APPLICATION FORM SITE ~ Da t e /YJ.. /1 ~/~ 1 NAME LOCAT' ON/LEGAL ......DESCRIPI.,ON APPL (CANT .&\...Alt:?-M1PNt" INV ~1O'(2-<S it ADDRESSfrJl'1 W.<O.gh d::t 1--4 0 0I4N E R 60'dV'V1-G .Ary .:;;l. be? V 6 ,rp'-OC;~.l r L-U 1..6 4 Bl2-A2o 5 C;O'uNT 'r 1""~ L TtJ . HONE ('5J7-) 4-7"2 - /q8>PS Au 0'T \ N, f)(' . 1 !b' 14-3 I. fHONE fPHONE A RC HI TEeT O.R........ >EN,G..,.......,,',.,...N. E,......".Ell ......~..........'.......,~...'...... ....'.........t:.......,......\.....,....r.."....... G...... ....., .vn.'. {0v\-... . .4::' '.<; l..t....,;) U~ '. ~ Ar.L.Cft 11 . tG- ~'VtJ~A L ~ 'f: po I c-t::::~ ADDRESS '1 -b~ j:f.l)4 0 A 00'1"\ rJ CURRENT ZONING> OF PROPERTY VARIANCE (S).....REQUESTE.DANoiREASON (5) The "'" a pplfcant/cert ifi..e s...tha t . the '.' .above A POWER OF ATTORNEY STATEMENT I i I I I