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3003 Amend Zoning Faith Add . . 1. Applicant's Name 2. Applicant's Address 3. Telephone Number (Home) Glenn Mason ò;i¿ 's~b.n¡ü~' ~Q.¡" 1'1'" F11ing Fee $~ DatcPaf¡r (. -:zc.' "s.' Heáring Date. ~l{t rilof 3"03 (To Be Fi11ed Out In Dupl1cate) 831 Mellinger 3-91.98 (Bus iness) 7-5566 4. Present Owner's NalllC Zenobia L. Mason . 5. Present Zoning 8 Proposed Zoni ng DO , 6. Approxlll\ðte Address of Property 7. Lot 12 Block -2-- Subdivision Rep1at Faith Addition Metes and Bounds Description (if not p1atted) 13-DD 8. Present Use of Property Vacant 9. Desired Use of Property, Doctor's Office 10. How Are Adjoining Properties Used? North D South A East '8 West DO 11. If Char.ge Is Granted, How Will It Effect Adjoining Properties? .Will not Effect 12. list Reasons For Request to build a doctor's office 13. List exhibits or plans submitted: (furnish plot plan or site plan shewing existing and proposed structures, easements, water courses, curb cut-backs): . ')C.>~ L"--'-'-¿"(---~' -X, '/77/(' ¿1'7L/' ~...~ 7'P-r---- '"" (Property Owner's Signature) iAp'pticant's Signature) \ * * * * * Do NOT Write Below This Line * * * * * ,. * * * * Date reviewed by Governing Body and referred to the Plannir.g Conni ss ion ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. * ,. * ,. * * ,. * * * * * * PLAHNING Cor-v-lISSIOfl ACnO~ Date of advertising for hea~lng and beginning of protest period Date of Hearing Facts found: Protest Period Ends Action taken: "' ,. * "' * * "' ,. * ,. "' ,. ,. ,. ,. "' ,. * ,. ,. * ,. ,. ACTION BY GOYERUIIIG BODY Date of receipt of Planning C(l,"t;;1ission Report Action Taken 0---- --- ___0 0__- - Date: ,-----