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2016-05-12 12: 17 Townof Christiana 608 423 7626 >> P 3/3 <br /> TOWN OF CHRISTIANA <br /> PLAN COMMISSION APPLICATION <br /> REZONE, CONDITIONAL USE PERMIT OR LAND DIVISION <br /> Contact Person � eux+ 4tler6v-r-) Telephone number <br /> JtcYt‘ d efic60-0 )rf)f- 14-7 g <br /> SECTION A - GENERAL INFORMATION <br /> • leant's name Date of ap licntion <br /> Pull address E-mail address <br /> 365 23 <br /> Home telephone numb Work telephone number <br /> (Er ( L � r 14& <br /> wner's ifferept than .pplicant) Telephone number <br /> u/ 41 at <br /> Full address , 5 2, , <br /> ► „_ . .1 d+ <br /> au,,,6___7_12.1.0._ uthorize and agree to. 21l' e L li submitting <br /> (owner's name) (applicant's name) <br /> this application pertaining to land I own in the Town of Christiana. (Owner is required to attend <br /> the first Plan Commission meeting) <br /> 4,44 _Ate. ✓'l .pro. ' r1* <br /> Date Signature of owner <br /> Agent's name Address Telephone number <br /> SECTION B -PROPERTY DESCRIPTION AND INFORMATION <br /> Section '/•'A section , number <br /> 1"0 Le rl e2 016/0612- (c <br /> Parcel address <br /> Parcel loceCio s (' no addressZ <br /> Total acres in parcel Total acres to be rezont.•'Y Present zoning Requested zoning <br /> 3J4 <br /> Intent or purpose <br />