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9/21/2006 4:20:55 PM
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<br />,,~~ <br /> <br />"" <br /> <br /> <br />Comprehensive Plan <br />Amendment Application <br /> <br />Applicant/Contact Information <br /> <br />Applicant Name <br /> <br />o l\ \L-wooJ UurvJ btvtlOfWltv't- <br /> <br />\\.0\\ <br /> <br /> <br />10 Nt:? <br /> <br />City <br />Y' ? irS <br /> <br /> <br />Applicant <br />Address <br /> <br />Street address <br /> <br />State <br /> <br />Home Phone Number <br /> <br /> <br />Work Phone Number <br /> <br />Email Address <br />Name of Business (if applicable) <br /> <br /> <br /> <br />Business Address (if applicable) <br />V <br />Business Phone Number <br /> <br />& <br /> <br />Proposed site (subject property) of Comprehensive Plan Amendment <br /> <br />Address <br /> <br /> <br /> <br />te> <br /> <br />- P'-yp () I~ h ~t { vi <br /> <br />PIN <br /> <br />Legal Description <br /> <br />5tc ~~ desO/i phoYt <br />(circle one) <br />Zoning @;l)R-2 / R-3 / B-1 / B-2 / E-l / E-2 / TC other <br /> <br />Property Owner Contact Information <br />if different from a licant's information <br /> <br /> <br />} /IlfD (fc ~ t1vlvoV~ <br /> <br />Name <br /> <br />~ <br /> <br />Address Street Address <br /> <br />City <br /> <br />State <br /> <br />Zip <br /> <br />Phone Home phone number <br />Number <br /> <br />Work phone number <br /> <br /> <br />10f2 <br />Updated: January 2004 <br />
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