HomeMy WebLinkAbout2012-020 Variance W,,44)dMWVA
City Use Only t�
XBR Da te Received: d'a V/�A L YA
TER Date Application Complete:
Letter of Completeness:
Planning Application Application No. o 0/a1
A preliminary meeting with the Planning and/or Engineering Staff is required prior to the submission of a
Planning Application. No application will be accepted prior to such meeting. City Staff shall have five (5)
business days to review applications for completeness. The 60-day statutory review period does not begin
until staff determines the application is complete.
Application Request
(Mark all that Apply)
Site&Building Plan Planned Unit Development Subdivision Approval
($750) ($1800) ($300)
Rezoning PUD Amendment Appeal
($1050) ($700) ($200)
Variance Special Use Permit Determination
($200) ($200) ($200)
Applicant Information:
Name: Signature
Address: 1 5 OW C E/V T� �sy d
Office Phone: `-3 �� a Sy Cell: 7 Co 3 . 0d 7 d /7
Email:k 6L Lt 6 C f Q e C t<Y'( FAX:
Owner Information* (if dierent from Applicant):
Name: V j^ (�(, G Signature
Address:
Office Phone: Cell:
Email: FAX:
* The fee title owner of the property must sign this Application to make it official
Please provide a general description of your Application Request:
Address/Location of Property: ms`s 4-A lviE j
Legal Description of Property: L dT 1 &_ock -3 /1 G),I RI'V69 i�5� � 5 -
City Use Only City Use Only City use,"
Planning Commission Recommendation
Dates of PC Consideration Legal Notice Notices Mailed Action Taken Approved
Published Resolution No.
Approved Denied this day of 20
subject to the following conditions:
Chairman
City Council Action
Dates of Council Legal Notice Notices Mailed Action Taken Approved Performance
Consideration Published Resolution No. Bond
Received
Approved Denied this day of 20
with the following amendment:
Clerk/Planning Commission Secretary