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<br /> <br />Comprehensive Plan <br />Amendment Application <br /> <br />Applicant/Contact Information <br /> <br />Applicant Name <br /> <br />1~l? ~\)C.~ }.1t::"b ~.,AA-rz. C, 1<Am~ ou.;>A.:> &-Pn:JZ.) L. L.C . <br />Street address City State Zip <br />4-lOD ~rrtA1... e, }J.t:., ;1 t-$. t1~ S54 2.1 <br /> <br />Applicant <br />Address <br /> <br />Home Phone Number <br /> <br /> <br />Work Phone Number <br /> <br />~f:,3- ?-57 .1. ~Z,=- <br />i-b'?>-1-s-l- bb4q <br /> <br />'. <br />Email AddreSs BRl>cer-.! @ NeDE:~AA1Z-b. <!.UtA <br />Name of Business (if applicable) <br /> <br />Fax Number <br /> <br /> <br />Business Phone Number <br />1-b 3 - 'l5 ~ -z.~ z.ip <br /> <br />RAin'tle- To&A.S~ C:.J.t.ll:;~ L. L. C . <br /> <br />200 C.Q.L~L Ave:. J'l.l::;. rl~LS. ~ 5"5'L\"Z..l <br />Business Fax Number <br />T"- '3 - ':J-51-D~4 <1 <br /> <br />Business Address (if applicable) <br /> <br />Proposed site (subject property) of Comprehensive Plan Amendment <br /> <br />Address <br />DUTLDTS <br /> <br />PIN <br /> <br /> <br />Legal Description <br />6cc A~~~ ~-,- <br />(circle one) <br /> <br />Zoning R-l / R-2 / R-3 / B-1 / B-2 / E-l / E-2 / TC other <br /> <br />Property Owner Contact Information <br /> <br /> (if different from aDDlicant's infonnation) <br />Name <br />Address Street Address City State Zip <br />Phone Home phone number Work phone number <br />Number ( ) ( ) <br /> <br />10f2 <br />Updated: January 2004 <br />
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