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Number <br />Paid <br /> Filed <br /> <br />APPLICATION FOR CONSIDERATION OF PLANNING REQUEST <br /> (This form should be filled out in duplicate by typing or printing in ink) <br /> <br />Street Location of Property: ,_~'-'~70/- <br /> <br />Legal Description of Property: ,/~7' ..~ <br /> <br />Address ..~---~o/- . j~.). 6~ <br /> <br />Applicant (If other than owner): <br /> Name <br /> <br />Phone <br /> <br />Address <br /> <br /> City <br />Type of Request: <br /> <br />Description of Request: <br /> <br />Present Zoning Classification: <br /> <br />State Zip <br /> <br />Rezoning /~ Variance Special Use Permit <br /> / <br /> <br />Subdivision Approval <br /> <br />Other: <br /> <br />Existing Use of the .property: <br /> <br />Has a request for a Rezoning, <br />thereof been previously sought? <br /> <br />Variance or special use permit on the subject site ot any part <br /> /1) 0 When? <br /> <br />Signature of Applicant: <br /> <br />Date <br /> <br />Approved Denied <br />Approved Denied <br /> <br />by the Planning Commission <br />by the Council on <br /> <br />on <br /> <br />(date) <br /> <br />(date) <br /> <br />Form No.7.6.300-2 <br /> <br /> <br />