HomeMy WebLinkAboutApplication 092123subd.d0c 4
O1/18/23
INFORMATION SHEET FOR
SUBDIVISION PUD's, PD's, ZONING
OR SUBDIVISION SITE PLAN REVIEWS
ITEM NO
FILE NO
NAME:
LOCATION:
DEVELOPER:
STREET ADDRESS %Z.S
CITY/STATE/ZIP G
TELEPHONE NO.
ENGINEER:
STREET ADL
CITY/STATE,
TELEPHONE NO.
DATE 7 %a `
�2 f4f�
S��- � / %• S ion
FT. NEW STREET 3w, I zd
T
ZONING A,��'
PLANNING DISTRICT
NUMBER OF LOTS S
PROPOSED USES � �t�w••l /'ll1¢l,��,�
CENSUS TRACT
VARIANCES REQUESTED
1.) aCiltanCL $0`dWa
2.) Zr7t �rih� f %'CA/"1�U9. �e��clts f Jr S�C bl��. S2T P`ILkS
3.)
4.)
subd.doc 5
O1/18123
Plat NC
Owner
Addres
Phone:
(3)
VARIAA CE/WAIVER REQUEST FORM
Date
File N�
Engine
Addre
Phone
'P/;1 Signature: OSL Date �-��
PLANNING COMMISSION ACTION:
Approval ()Date
Denial () Date
Basis for Decision:
BOARD OF DIRECTORS ACTION:
Approval ()Date
Denial ()Date_
Basis for Decision: