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# 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 _____

Signature ___

Owner



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