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.ver <br />IF ALL OF THE REQUIRED INFORMATION IS NOT SUBMITTED <br />THE APPLICATION WILL BE RETURNED INCOMPLETE <br />Case Number: <br />Public Hearing: PC & CC <br />Conditional Use Permit <br />Subject Property Information (pleaseprint) <br />■ Address: _ (; �lplo �4 C1 le ST N ZI c 11_ C? jy k_.Ir' Iu N SS330 <br />■ Parcel Number: 75 - �`_�� - �� <br />■ Complete legal description - this may be obtained from the county or title company, or found on your <br />property deed or in your closing documents. <br />■ Please submit legal description in a Word document. Without it, your application will be returned as <br />incomplete. <br />Applicant Information (pleaseprint) <br />Business/Company name: C t y P kA-tD Pc Ir 1 <br />Name: edu 61 r A (.i (o'i M E-mail address: <br />Address: �;LU�AIo VC1I.P S-t I.rw 3E kV_ ID-1V Ly- WA C:;!:;330 <br />Street City State Zip Code <br />Phone: _�P��7 —�o�li - 712 OZ <br />�-,g.a.�� j�� <br />Property Owner Information (pleasep int) Same as Applicant U Differ=4 as below ❑ (Check one) <br />Name: E-mail address: @ <br />Address: <br />Street <br />Phone: <br />City State Zip Code <br />All signature lines on all pages must be signed for the application to be considered complete. <br />Information will be sent via email unless otherwise requested. <br />Pagel (Last Modified 7 /21 /2022) <br />