H-2 Zone Indian Rock RpltPUBLICATION DATE ~ ~.~CR
~ ,
PLANNING DEPT. REVIEW
PETITION NO. .%~1~1 I
DAT~. FIL~.D ~2~, t%1%
FILING FEE $25.00 ~eP~. ~ 20~3
". APPLICATION FOR AMENDMENT
TO THE DISTRICT ZONING MAP
1. Appli.cant's Name, ,r~ ~/~ ~Pff5 C~/H
2. Applicant's Address:~~-~ '~/~ ~.~.~ ~~~ Code:_ . . .
3. TelephOne (Business): (Home): ~L .~ Sf'"~
4. Owner's Name: ~7~.~L ~//
' Address ~ ~' __., ~.~ ~lp Code.-
5. ~ner s :
6. Legal description of property requested to be rezoned:
Me~es and bounds description if unplatted (a S~eyor's Certificate
must be filed with this application):
10.
11.
12.
Approximate street address:
Area of property (sq. ft.
Present Zoning: /~
Requested Zoning: ~_
Are there any covenants of record which' prohibits the proposed
development? (Attach copy):
List reasons for this request.
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(.Rev. 9/74 )
Supply factual data showing the effect the request will have on
present and future traffic flow, schools, utilities~r.~fus~e
collection, surrounding properties,(~ etc: ~..~u<.~_~_~/.~-~ ~f~..%~ ~,~..z~
· t,'" /
14.
Will there begsufficient off-street parking provide,~ for the
requested use. /J ~...--- Explain: f~L~_~_ ~ (~_~_~ ~_~_~
15. List exhibits or plans submitted:
Property owner (s) signature:
Applicant's s~gnature:
If the applicant is to.be represented by legal counsel or an authorized
agent, please complete the following so that correspondence and
communications pertaining to this application may be forwarded to the
authorized individual.
Name of Representative:
Address:
Telephone (Business):.
Zip Code:
Area Code:
DO NOT WRITE IN THIS SPACE
NORTH
SOUTH
EAST
WEST
Surrounding .Property
, Zone Use '
Character of the neighborhood
Relationship to Land Use Plan
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