HomeMy WebLinkAboutApplication 111925subd.doc 4 01/18/23
INFORMATION SHEET FOR
SUBDIVISION, PUD's, PD's, ZONING
OR SUBDIVISION SITE PLAN REVIEWS
ITEM NO. DATE //w7' C04 b
FTT,F, Nn
LOCATION:
DEVELOPER:
STREET ADDR
CITY/STATE/ZIP
TELEPHONE NO
ENGINEER:
STREET ADL
L�
501-
CITY/STATE/ZII' �- � � � 7Z Z
TELEPHONE NO. Sol- Z % q - 51,41
FT. NEW STREET .7 3 O �
ZONING C ' 3
PLANNING DISTRICT
VARIANCES REQUESTED`
3.)
4.)
NUMBER OF LOTS
PROPOSED USES C�r1t/N,�/��w
CENSUS TRACT
subd.doc 5
O1/18/23
Plat NC
Owner
Addre,<
Phone:
Variances) Requested:
(1> bftf 0
Justificati
VARIANCE/WAIVER REQUEST FORM
Date Filed %PI %- Z
File No._
Engineer:
1/ Address:
- ZIN-
Owner's Signature: S 1� M� Date � � ` � � ` Z S
PLANNING COMMISSION ACTION:
Approval ()Date
Denial () Date
Basis for Decision:
BOARD OF DIRECTORS ACTION:
Approval ()Date
Denial () Date
Basis for Decision: