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• Oiz OFFICE- US; O LY <br /> Ccrac':Itional Permit No. Date Uear..ng Advertizod <br /> Land Use Apoiication No. ..._..� <br /> Dote Fee $ Date <br /> hoticn Posted a=........_._... Property Owners Notified <br /> APPLICATION <br /> CO= OF 13UPELTT ZONING COIli= <br /> (I) (Lie)/14462f F /Rc Egr " ofs 7 3 i 7-L <br /> .ame Mailing A,.'-. 33 <br /> hereby make application to the Zoning Committee for a conditional permit for the <br /> fJ11.(Art <br /> :!�;s <br /> ...._._.�_ 22 Pi/Y : 41,0 U,/ l,) _ _S f=�/t1 � A ; `fA f° ✓�Ft isl/' {z�"".0 t:4/e?-C- <br /> on <br /> fon the following described property: <br /> Location ccr%e eaw • 3 errr <br /> fovx r4-/v G,r) Ge/c..5% <br /> Lot Size ,5/ /e.. Present Use ,P e -, - ,1/ Zoning District <br /> Present improvements upon land ...4e29.6.5 <br /> Proposed Use / iy i,`... df' <br /> List names and addresses of adjoining property owners: A►''v 'Ea/ 14-'4- 4"..e4,UL'. / '1- "'ef` <br /> �f' <br /> ^�.f'.4'�M <br /> e ♦- , " SNS F✓i iv <br /> • <br /> Signature of applicant � � Date a--n. . !.1'_ , <br /> --------------- <br /> Action taken by Zoning Committee <br /> Notes: <br /> Signed <br /> Secretary, County Zoning Committee <br />