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1NV , PUBLIC HEARING APPLICATION <br />J <br />flearing tf <br />• •,, ,_;, Date Received -- <br />Folio Number <br />Y C• fltu <br />5 <br />I . Proposed Project Name: <br />2. Name of Applicant— t 1111c _ 1 �a>i <br />a, If applicant is Hie owner, give nano exactly as recorded on cited. <br />b. if applicant is lessee, attaeli copy of vafid lease of one (i) year or more and Property <br />Owners Sworn -to -Consent. <br />C. If applicant is a cot7ioratiou. partnership, limited partnership, or trustee, a separate <br />Disclosure of Interest fora must be comple(ed. <br />3. Applicant Mailing Addre`ss_ <br />City T� _ -State — lip�� 1 <br />Tel. # (during working hours) � 6Si S� Zic. � e-mail <br />4. Name of Property 9�yner iLlv)�'}l�` icy , u L_ L <br />City l�.i NQU A -A_ _State f—1 4tp t <br />Tel. # (during working hours) ��! �� __e-mailVtCis �.th C431 <br />S. Contact Person W <br />Mailing Address <br />CiState zip 33 Cam• <br />Tel. # (during working hours) ' —PR (Q 201?5 <br />b: LEGAL DESCRIPTION OF THE PROPERTY COVERED BY THE APPLICATION <br />V1 <br />S. <br />a. if subdivided, provide lot, block, complete name of subdivision, plat book and <br />page number. <br />b. if metes and bounds description, provide complete legal description (including <br />section, township and range). <br />e. if separate request apply to different areas, provide the legal description of each <br />area covered by a separate request. <br />d.attach a separate, typed sheet if necessary. Verify the legal description is <br />correct. <br />Size of property: `k ft. x R. acres <br />0*4(* MlyWNrill <br />Public Harkv AppAeatktn Package <br />Page 4 of 23 <br />26 <br />