HomeMy WebLinkAboutApplication 110722suhd.doc S
VARIANCE/WAIVER REQUEST FORM
01i 17/19
Date Filed 6 , 17 ^2 2.
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Plat Name lle No.
Owner: Engineer:
Address: Address:
Phone: Phone:_ 9 1 1,1 to 24_
Variance(s) Requested:
(1) QpQ 44+' ill\ i Asp
Justification
PLANNING COMMISSION ACTION
Approval ( ) Date
Denial () Date
Basis for Decision:
BOARD OF DIRECTORS ACTION:
Approval ( ) Date
Denial ( Date
Basis for Decision:
subd.doc 4 01/17/19
INFORMATION SHEET FOR
SUBDIVISION PUD's PD's, ZONING
OR SUBDIVISION SITE PLAN REVIEWS
ITEM NO. rr � 1 DATE b - 7" 2
FILE NO. �' / G� r 9
17 . n I t w A.i i
LOCATION:
#00L -722e2
DEVELOPER:
STREET ADDRESS
CITY/STATE/ZIP
byp
1►
Z
TELEPHONE NO.
ENGINEER:
. n
STREET ADDRESS
CITY/STATE/ZIP
,I�,.
5, I ► �
TELEPHONE NO.
315 - ZV 2L
AREA NUMBER OF LOTS 7-
FT. NEW STREET JA
ZONING R
PLANNING DISTRICT
PROPOSED USES
CENSUSTRACT
VARIANCES REQUESTED
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