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3555 Amend Zoning Elm Grove Add ~ PUBLICATION DÁTE ~ Iii J aJU y/7 () It ~£¡¿ 21 HEAR.ING DATE rnDiJ I f¡ I q 7 ~ VICINITY MAP ATTACHE X PLANNING DEPARTMENT REVIEW Jr¡ v-f...~ U PETITION NO. 3555, DATE FILED - ¥ IS,I~1(" FILING FEE $25.00 RECPT.#7727 .. APPLICATION FOR AMENDMENT TO THE DISTRICT ZONING MAP 1. Applicant's Name: ~ dJ&tJJ1lYè.... 2. Applicant's Address: .~ ,,)1, ~ ~ 3; Telephone (Business): -82.'5 '.~ !'3(:> 4. Owner's Name: ~ WO<fJ.JfZ"'2..- 5. Owner's Address: ~j;;', ~n4- f6. Zip Code~ (Home): 827~7ilZ....- Zip Code 67Yor 6. Legal Description of property requested to be rezoned: In I nJ 9 /d/¿¿tI,S/tF-- FIM 6!J&V6 rIolJtT1tJ:U in Block No. 2- Lot(s) Subdivision Metes and bounds description if unplatted (a Surveyor's Certificate must be filed with this application): 7. Approximate street address: l3DÖ- We !;1!4fG9CI'lc! /52 -luY CAer(~ 8. Area of property (sq. ft. ~;~~) ~~'L IDçíe::; 9. Present Zoning: ~ /:J2Pi-¿ l!H7721L'T)."use: . f)LlJé!111~1 "i/I/C.flrJr_. 10. Requested Zoning: Ù (WaiL &1;::;::'U) Use: S'hiW {' .f,fR-JJ;rOrnO8lLí::- (Rev. 4/76) . . ¡. . u u 12, List reasons fo~th. isreqUest:,(fttach additional .sheets if necessary) - '{) CB¡vtr([! B (01, f~l(r( rp C"zær 15/c/¡ 13. Supply factual data showing the effect the request will have on present and future traffic. flow, schools, utilities, refuse collection, surrounding properties,etc: (Attach additional sheets_if necessary). 14. Will there be sufficient off-street parking provided for the requested use? rb Explain: ~ ~E- !/!i£X/( 15. List exhibits or plans submitted: (lid:- PROPERTY OWNER(S) SIGNATURE: APPLICANT' S SIGNATURE: - - -- - --- - -- - - --- - - - - - - - - -- - - - - - -- -- - - - - -- - - - - - - - - - - - - - - --- - - - - - -- - -- - - - - - -- - - - -- - -" - - - -- - - - - - - - - - -- If the appl i cant is to be represented by legal counselor an authori zed agent, please complete the following so that correspondence and communications pertaining to this appl ication may be forwarded to the.authorized individual. . . NAME OF REPRESENTATIVE: ADDRESS: TELEPHONE (Business): ZIP CODE -- AREA CODE,- (Rev. 4/76) .' .. U ,~ETITION# 6555 .; GARY WOOSTER IIAII .. 'IIDII k', '°' ,. ' . . '~ , " . . . . . , ð & ,. " " .. " I. . . . . ,,' s . . , ð . lrSH .$7/¿é-tf: T ~ ~ « \) " ,"." ! . . , . . , 0 . ,. " .. " " ! ..' ,,' ~ & ,,', ; , , . , . , ð ø '° " ;--- "" REQUEST