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"0x.1 OFPICL USS ONLY <br />Conditional Permit No. Date Hear --ng ?d;rer�,ized 3 �U f ✓' � % <br />Land Use Applica ion 140. <br />Date 3�(A 7 Fee $ D to <br />Rot_ce Posted Property (Xmers Notified V-� <br />Al LIC:!TION <br />COUNTY OF BURr1uTT// ZCi1T_IIG C011.ITTT <br />�I) (Ile) r f • lJ .1r�R, i of _%.. :e�/ 00,4 v� . LL�5. S5/Y30 <br />Nume ..... TT=1� ng Auris.°ess <br />hereby male application to the coning Coraittee for a conditional permit for the <br />N' %ra; r✓ Par <br />on the folloi�ing described property: <br />Location /Ul' /��"'�j °� �,: - __q( .iC� � ali�� r � � �� t ., } 0�� <br />Lot Size IC 4c, v e, s Pre3ent Use �1 <br />Present improvements upon land N"1 <br />Proposed Use <br />Zoning District -Pi h <br />List names and addresses of adjoining property otimers: <br />kfA k— S6 7 1V O1 /, j u w o c.d( Dr, <br />bra h!� �1�a r• d � �. � �/� � � ,rl� K ��-/ G7�; > .� �� Y'3 v <br />Signature of applicant �`�/ Date <br />Action taL-en by Zoning Committee <br />Motes: Q <br />4 /i #4 �« t C", 6�/L <br />Signed <br />ttee <br />