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Specific Location/Rural Address Request <br /> (Entire F rm To Be Corn letely Filled Out Before Staff Can Respond to the Request) <br /> Today's Date 7 . 3 07e <br /> Township/ Section of Needed Address / ' _- i 01^-) <br /> Specific Area/Nearby Roads t9r) P 4-1--- <br /> - C P-d J <br /> Parcel # 0S/ )- 09' 3 ? / `f05 <br /> Person/Entity making this request - �� Ti� <br /> Contact Information for requestor <br /> Date of Original Request to this Agency(Date stamp hheere))E C 0 U TY <br /> (To be filled in by Planning and Development Staff only) <br /> JUL 3 0 2008 <br /> Short Narrative of what you know about this situation, and any collateral information that <br /> you have obtained in this matter. ZONING DIVISION <br /> (Include any specific request or suggestion that may be important to ctaff'who are aorkmg on t e Assignjient of the Rural Address) <br /> l —Rzio D PA__ ti c---- U// 9 tv.---? <br /> fpn PLL- GI) A Oki 12- K <br /> N <br /> f-\ P1.- 5 G C 2 w LPL 4- 7 <br /> ,_ a, ( _cot-LT /1 <br /> 2 0 17.--__ <br /> c LL Z--i-0 :r-pl c a --, ,^ ) <br /> . ° ft •- •-• S <br /> Staff person taking in this request C 14- S <br /> Requestor shall provide a site plan, drawn to a measurable scale, including lot lines & lot <br /> dimensions, and any existing or planned ingress/egress to the property, and the distance <br /> from the lot lines to the ingress. <br /> Filed by Town & Section <br /> Form 2006- A 10-10-06 <br />