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735(0 '39 . <br /> ° <br /> SUPPLEMENT to W LAPP t <br /> ZONING PERMIT APPLICATION www.tountyotd <br /> PROPERTY OWNER INFORMATION turroMWITo PR0VIDIE <br /> mow%0. rat • LL-C- • 0 zonirq �c <br /> • . . i . Jilt i � ._. - (+�_� <br /> u L o pMul�n�r,: <br /> •MEPFIOPE cJ CELLPHOt E E-MALAOONESS d �lCfle <br /> 0 sits PEES en <br /> A�. I (� '�moons <br /> is ' and Ind <br /> AGENT INFORMATION CONTRACTOR INFORMATION <br /> ' w•1 V� CONMACTOSNess 0 Sits � low�� t dwh�t+ IF WWII% <br /> CD ESS CONrRh CTOItAOOIIEes <br /> 7 <br /> • <br /> ❑ • • <br /> ZiP) 0s tl�•• <br /> na <br /> 1401---1--'1E aPPI <br /> • <br /> E-NIALIIOONEfa .. � ❑ Floor I 'O sr" <br /> • <br /> PROPERTY LOCATION INFORMATION (http .1cc.r ,tid.1nc•.co.d.irh, rTc'' ) ❑ Of ��ab�• <br /> MINT ,., _ . frontage <br /> ❑ PMrEflL ' <br /> 1°wIljri0 t 7 YVa 0.\ -Root <br /> I - kt,i. w .kii, . <br /> private) <br /> CAA: LOT � -Ai , r� r <br /> o. <br /> PROPOSED PROJECT INFORMATION ��i� t <br /> , — Ns "_ <br /> . ❑This project is a new budding or structure. . <br /> Cl This project l,an salon/alteration to an e3dstIng Wiling or structure. <br /> = <br /> s Osap= 0 <br /> MONTH Mat , d} NUMEENOF • ' (f�baludMte bosnowig <br /> 5. J <br /> AREATO NEAREST SQUARE FOOT. <br /> (Outside dimensions du* shed .'.err S a or pocdMe) <br /> i <br /> 70 PLOOIk __. // i <br /> 2rC FLOOR • Se'. ' <br /> ESTIMATED CONSTRUCTION COST: -0, -el, -► -, �► '� t %(Pleas round to neared dod1). <br /> • <br /> ❑tae Don't " <br /> 1. Ths.propsrty is within 300 fed of a stream or 1000 feet from o a pond or lake?........... 0 Don't know <br /> 2. Is them a"Mend ortoodpisin on or near the property?.......................... r-�M_. <br /> 3. Have you tidied with the township about your project and are they M agreement?..•• ❑has ��'';N�o' <br /> 4. Hai there been a zoning persi awned for this property h the past 5 years?•••..••••-•• babI I nons� <br /> rezone/CUP/variance(petition/tipped s----, Q <br /> 5. Is this project associated with a rezone/C [] <br /> Don't <br /> know <br /> .,,,�... O1fiMs <br /> 6.Is a location survey required? (see reverse)»»� � • <br /> i. e I t Is to correct a*tidbit? —• <br /> APIticgroe way se woe <br /> se NOW <br /> • Penang*mil <br />