HomeMy WebLinkAboutApplication - Signed 050721cihdd�c 01/17/19
VARTANCE/WAiVER REQUEST FORAM
Date Filed
Plat Name A44 L&vt,L Sv kv�S i +, File No. S- / 00/ 6
Ownrr: c 'r Lnginccr: njzr
Address: Addrea5:
Phone: Phone:
Variance(s) Requested:
(1)
(2
(3
Justification:
Owner's Si&muture.
PLANNINW.OMMISS1ON ACTION.
Approval # � Date 'Z
1)�'all
Basis for Dccis�n-
CaAUM
��
BOARD OF DIRECTORS ACTION:
Approval ( ) Date:
Denial () Date_
Bw,.is for Dccisioit:
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subd.doc 4
INFORMATION SHEET FOR
SUBDIVISION PUD's PD's, ZONING
OR SUBDIVISION SITE PLAN REVIEWS
ITETT NO._
FILE NO. S C [
LOCATION:
DEVELOPER: LJ
STREET ADDRESS
CITY/STATE/ZIP IC
TELEPHONE NO. — �b
ENGLNEER: Yl C C--�) L
STREET ADDRESS
CITY/STATE/ZIP �r 11
TELEPHONE NO.
AREA NUMBER OF LOTS
F F. NEW STREET
ZONING PROPOSED USES
PLANNING DISTRICT CENSUS TRACT
VARIANCES REQUESTED
1.)
Z.)
3.)
4.)
O1/l7/19
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