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I� !� ray <br /> lV� V�'�17V7.f U �.;'a�,� <br /> Con(lit-oval Permit Ito. tc xlcal az :�dver�.,ized 72 <br /> y <br /> Land U:;e ."gplication No. <br /> Date ®®�� ��� Fee $ G!9-,'D,dd J e71 <br /> Plot .ce Posted Property Owners Notified <br /> APPLICATION <br /> COUTITZ OF tBURI'LITT ZC171I'G C0IJ`fiITTB1J <br /> Rellof <br /> Name N. ing Adc+ <br /> hereby mare application to the Zoning Committee for a concitional perrf-it for the <br /> following: <br /> t, <br /> on the olloiiing described property: <br /> Location ' <br /> nu ,L - zz�z zfz- <br /> Lot Size Present Use 4,*- Zoning District <br /> Present improvements Pon lance <br /> Proposed Use <br /> List names and addresses of adjoining property otinzers: <br /> Signature of applicant C ==�`=L' ': ,_. Date ��- Al' <br /> . . .__. <br /> Action taken by Zoning Committee <br /> llctes <br /> Signed <br /> Secretary, County Z� ng Committee <br />