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INFORMATION SHEET FORSUBDIVISION
OR SUBDIVISI[}N S T�E� PLAN REVIEWS
ITEM NO. Q
FILE NO. 1
DATE
a
01/18/23
LOCATION: _�1 1
DEVELOPER: 6&2� A92!
STREET ADDRESS/
CITY/STATE/ZIP
TELEPHONE NO.
ENGINEER:
STREET ADDRE;
CITY/STATE/ZIP
TELEPHONE NO,
i
AREA Io, NUMBER OF LOTS 2�
FT. NEW STREETS 9'
ZONING /7 r
PLANNING DISTRICT
VARIANCES REQUESTED
1.)
2.) (.
3.)
4.)
po, 1�prolleal
PROPOSED USES r
CENSUS TRACT
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/n
01/18/23
subd,doc 5
VARUNCE/WAWER REQUEST FORM
Date Filed
Plat Namg,� File No.-
Owner:����9� Q•G' _ Engineer:,
Address: rfl Address:_
Phone: Q! % Phone:
Variance(s) Requested:
(1)
Owner's
PLANNING COMMISSION ACTION: BOARD OF DIRECTORS ACTION:
Approval ( ) Date Approval( ) Date
Denial () Date Denial ( ) Date
Basis for Decision: Basis for Decision: