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<br />'" <br /> <br />f? r""'" <br /> <br />,.- <br /> <br /> <br />_ Comprehensive Plan <br />Anlendment Application <br /> <br />" <br /> <br />Applicant/Contact Information <br /> <br />_ Applicant Name 73(,ljh1~lY~ De.lIe..1bfyYI en -f C"rt~r",i,'n <br /> , <br />Applicant Street address City State Zip <br />Address 119'1 N,r1l.Mlclk1'n Ave.nue- Ifi;/Iwlffer mAl ~S-OBZ <br /> , <br /> -- <br />Home Phone Number ({gll ) 3lP3" 501S" Work Phone N~mber (~st) I{3C>" SIPSfA <br />Email Address P cJ ~I'kYl'1 e yo g br'jMk elf> , Un.-t Fax Number ({,SI ) '130 .. ISOS" <br />Name of Business (ifapplicable) Ah~v.e.. <br />Business Address (if applicable) <br />Business Phone Number Business Fax Number <br /> <br />P-roposed site (subject property) of Comprehensive Plan Amendment <br /> <br />Address Nt1rfJ. we67 'I. u" J "'4-"" -t ,1', Bunk.eY' Litke ~Jvcl ItItJ'RJlIne.$-I"nc... {I, N.W, <br />PIN <br /> - <br />Legal Description II f..t?t"f,,/1 ,1' - 01411,-/ B "nd 1/1.1-/1,-/ C <br /> TtPwn Ce.nie". 61fY'd-eh 5 <br /> (circle one) -- <br />Zoning R-I ~R-3 / B-1 / B-2 / E-I / E-2 / TC other <br />- <br /> <br />Name <br /> <br />- Property Owner Contact Information <br />(if different from a _ licant's information <br /> <br />5a.....~ 4~ er.bPII-e. <br /> <br />Address Street Address <br /> <br />City <br /> <br />State <br /> <br />Zip <br /> <br />Phone Home phoQ.e number <br />Number <br /> <br />Work phone number <br /> <br /> <br />lof2 <br />Updated: January 2004 <br />