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Application for Consideration of Zoning Request <br /> <br />Street Address of Property <br /> <br />Legal Description of Property <br /> <br />Owner's Name I-~,~ ~ <br /> <br /> Address <br /> <br />Applicant (if other than owner): <br /> <br /> Date Fi 1 ed <br /> <br />I <br /> <br />Application No. <br />Fee Pa id $ ~), ~ <br /> <br />· - Phone No. /~ '-/~- ~/~,/,~ <br /> <br />Nan~e .' ' <br />Address <br /> <br />.... ':-'-'---': ............... ' ..... Phone No. <br /> <br />Type of Request: ( <br /> <br />Description of Request <br /> <br />) Variance '- ( ) Special Use Permit- <br /> <br />) Review of decision (zoning administrator) <br /> <br />(' ') Rezonir <br />· (~"') Other <br /> <br />Reasons for Request (Ordinance No. /Section No. ) <br /> <br />Present Zoning Classification <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 Applicant 7F,~-"P--~: <br /> (/ <br /> <br />Approved Denied <br />Approved Denied <br /> <br />Date <br /> <br /> For Office Use Only <br /> <br />by the Board of Appeals and Adjustments on <br />by the Planning Co~ission on <br /> <br />, 19 <br /> <br />,19 <br /> <br />Continued on Page 2 <br /> <br /> <br />