HomeMy WebLinkAboutApplication 051324subd.doc 4
01/18/23
INFORMATION SHEET FOR
SUBDIVISION PUD's PD's ZONING
OR SUBDIVISIIA SITE PLAN REVIEWS
ITEM NO.
FILE NO.�+ �f/`
LOCATION:
DATE
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DEVELOPER: G� ��� ' -��21 76� / —
STREET ADDRESS
CITY/STATE/ZIP
TELEPHONE NO.
ENGINEER:
STREET ADDRE�
CITY/STATE/ZIP
TELEPHONE NO.
AREA
FT. NEW STREET
ZONING
PLANNING DISTRICT
VARIANCES REQUESTED
I.)
2.)�
3.)
4.)
NUMBER OF LOTS
PROPOSED USES -�/�
CENSUS TRACT
subd.doc 5
01/18/23
VARIANCE/WAIVER REQUEST FORM
Date Filed
Plat Nam File No.
Owner:4�E,- , Engineer:
Address: ��zP Address: -Or5;�,
Phone: 5�21 Phone:
V
(1
l�5)
Justification
Owner's
PLANNING COMMISSION ACTION: BOARD OF DIRECTORS ACTION:
Approval ( ) Date
Denial () Date_
Basis for Decision:
Approval ( ) Date
Denial () Date
Basis for Decision: