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. &/ • <br /> JOA OFFICI USS ONLY <br /> Conditional Permit No. Z22._ Date Nearing Advertized Fr-,,w, �- 7? <br /> Land Use Application No. <br /> Date -1 —7c Fee $ Date <br /> Notice Posted � �175 Property Owners Notified .1:22-75". <br /> APPLICATION <br /> COUNTY 0" BURfl TT ZONING COILIT , , <br /> (I) . Y'!e5 6oQ i---k . or _! &r . O_ 54 O <br /> Name 17Ta' ing AddI ess <br /> hereby make application to the Zoning Committee for a conditional permit for the <br /> following: <br /> on the following described property: <br /> Location SEM4 f SW/VE-Sea/‘; -7-46)/V RIdo (c ! i ci <br /> Lot Size &' GIC res Present Use 211 Zoning District 1-1-- <br /> ______________ <br /> Present improvements upon land ' e <br /> Proposed Use rt / l a ' I '._ 9' b / ti 6 7-460' 71- <br /> - <br /> List names and addresses of adjoining property omers: <br /> " braid Gu// r4- 11.l.aa e / ' .:T1/ 664,26 <br /> Ji s earh 4 - 44I / Dr S , Paul/IIN ug <br /> and 5iti -/, - , , ' ,. 14 S.t $1-, nazi/ 5-c-11 2 <br /> Signature of applicant (Lel Date / / 75- _. <br /> Action taken by Zoning Committee __ Q. Q _ oC ,;rn <br /> Notes: <br /> Signed <br /> Secretary, County Zoning Committee <br />