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./~/I Application for Consideration of Zoning Request <br /> <br /> / ' ',~J ~ ~d Application No. <br /> <br /> Applicant (if other than owner)' <br /> Name '~5~ ~/~U~ Phone No. <br /> ? <br /> <br /> Address <br /> <br />Type of Request: (.~) Variance <br /> <br />( ) Special Use Permit ( ) Rezoning <br /> <br /> ( <br /> <br />Description of Request <br /> <br />) Review of decision (zoning administrator) ( ) Other <br /> <br />Reasons for Request (Ordinance No. /Section No. ) <br /> <br />Present Zoning Classification <br /> <br />Existing Use of the Property <br /> / <br />Has a request for rezoning, variance, or special use permit on the property been <br />previously sought? .~ If so, when? <br /> <br />Signature of Appl icantA~w,~.~r~~'/~x22~ <br /> <br />Date ~~~_~/ //2~/~- <br /> <br />For Office Use Only <br /> <br />Approved Denied <br /> <br />__bY the Board of Appeals and Adjustments on <br /> <br />, 19 <br /> <br />Approved Denied b.y the Planning Commission on , 19 <br /> <br />Continued on Page 2 <br /> <br /> <br />