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Applicationi P&Z Case No: Date -o`t~O CONDITIONAL USE PERMIT APPLICATION Use Only ^ Site Plan and Use Site Plan Only ii ~ Residential NAME OF PROJECT ~~'~ ~:~~ ~ ~~~tT"C~ ^ Commercial ADDRESS a~ ~ ~~~~~ca ~ ~~ i'~Y (z I,t~Ct.L'3._. LEGAL DESCRIPTION RESIDENTIAL COMMERCIAL Total Acreage Total Acreage Housing Units Building. Sq. Ft. Floodplain Acreage APPLICANT ~ ~-{ ~}~ ~ '~}~ U ~ ~-(~ PHONE (~-O ~~ ?~~ ~ °- ~, S ~,e ADDRESS ~ ~d ~ C~~,~ ~r OWNER ~ L ~ ~ IM ~- VL G PHONE PROJECT MANAGER % ~ ~~~ ~L~~ 1J"~~EG\J PHONE ~ ~~ - 1706 ` ~~ ~t,7 ..ADDRESS ~ ~~' ~1~' ~=1 ARCHITECT OR ENGINEER ~ ~/'~'" PHONE ADDRESS PRESENT USE OF PROPERTY ~ yL~ ~~ ~V~GLrI h C' PROPOSED USE OF PROPERTY ~/l~~~r~ ~i'hy1P ~IieC~{~ec^: ~rP~~ ~i~-'h, ~r'V~~~~~S~L' CURRENT ZONING OF PROPERTY VARIANCE(S) REQUESTED AND REASON(S) NUMBER OF`PARKING SPACES REQUIRED NUMBER OF PARKING SPACES PROVIDED ~~~~ Signatu of ner, Agent or Applicant Dat