HomeMy WebLinkAboutApplicationsubd.doc 4 01/18/23
INFORMATION SHEET FOR
SUBDIVISION PUD's, PD's, ZONING
OR SUBDIVISION SITE PLAN REVIEWS
ITEM NO. DATE p-
FILE NO.
DEVELOPER:
STREET ADDRESS
CITY/STATE/ZIP
ENGINEER:
STREET ADDRESS
CITY/STATE/ZIP
TELEPHONE NO.
AREA /• 3 S •Qc.
FT. NEW STREET 4
ZONING rZ •- L
PLANNING DISTRICT
VARIANCES REQUESTED
2.)
3.)
4.)
7zZz9
NUMBER OF LOTS (�
PROPOSED USES �/Y� tiirr GI�t /�
CENSUS TRACT
subd.doc 5
O1/18/23
Date Filed ffw� l3 • Z
File N�
Engin(
Addre
Phone
VARIANCE/WAIVER REQUEST FORM
Plat N�
Owner
Addres
r
Phone:
Variances) Requested:
(1)
(3
Justification:
Owner's Signature:
PLANNING COMMISSION ACTION: BOARD OF DIRECTORS ACTION:
Approval ()Date.
Denial ()Date_
Basis for Decision:
Approval ()Date,
Denial ()Date_
Basis for Decision:
-2