Rebuilt HTML — PaddleOCR-VL (Baidu)

APPLICATION FOR DEVELOPMENT REVIEW COMMITTEE MEETING

1.) Applicant

NAME: ___

MAILING ADDRESS:

TELEPHONE:

OWNER: (CHECK ONE) ___YES ___NO

2.) Property Location: ___

3.) Legal Description: Lot(s)___ Block(s)___ Subdivision

4.) Existing Use of Property:

5.) Zoning: ___

6.) Give a brief explanation of reason for request: _____

Signature ___ Owner

Signature _____

<div style="text-align: center;"><img src="imgs/img_in_image_box_5_57_768_86.jpg" alt="Image" width="96%" /></div>

Date

$50 Fee Received by: ___ Date Received ___

Please attach to this “Application for Development Review Committee Meeting” the Following items:

• A.Concept Plan
• B.Narrative Statement