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,ETY ~AR~~ <br />~ 0 <br />COW~M,UNlTY ~EVELOPMENT DEFTP,RTWiENT <br />P. 0. Bax 9037 r Par'ss, Texas 75461 r 503-784-9234 <br />U <br />~%P~'~.~C~~TEO~~ FO~e Z0T~uu'G G F`uA~~~~~. <br />ER,,D.1e0:d <br />f <br />TYPE C1F ACTION REQUES i ED: N'~Zoning Change ❑ <br />Speciffc Use Permit ❑ Planned Development <br />f"RC3PERTY lPdFm~~ATION: <br />Address: Name of Business or Building (if applicable): <br />Lot Block Subdivision _ <br />Current Zoning: <br />What is the proposed use oi the properry? _ <br />Proposed Zoning: ~ <br />C~, U9v <br />Describe the charecter and/or nature of uses of surrounding <br />Wiil the re-zoned designation be compatible with the classification and use of adjoining lands. Y s No <br />IS No, how do you propose to reduce any adverse impact? <br />ls the tract unsuitable for uses permitted under the presenl zoning dassification? Yes t Jo <br />1 <br />If No, why are you requesting a change in the permitting uses? D~~~~ <br />c~am~P~ <br />OWPEERIAPPbICAI~T~I~FORNdP.TBOP~:'e(if tter oONLYIF[hecontraclp~ovldessfhat'theepurchaseelscontlngentupontheappllcants ccessfullyob :talningeezonng <br />change.J <br />Applicant's Name: <br />ApplicanYs Address: Phone: <br />Property Owner's Name: <br />As~ALO <br />Phone <br />Property Owner's Address: ~ : <br />~a~~~e■~ece~ee■■o~~~+oc■■e.~eee■QCe■e~~e■■~r.. . co~nce~■e~e~oECS~cecec■~~~~e~ecca~o~eec <br />RPUIRED SUBMlTTALS (check those items which are included): ~~~nned Development requested, inciude also: <br />* Completed application signed by the owner/applicant <br />❑ Copy of a deed with metes and bounds -4~4-F-ebif,(4) copies of a preliminary site plan <br />-M-Permission letter from owner <br />--B-C-op~y of contract to purchase the property <br />l have carefully read the complete application and know the same is true and correct. I hereby agree to comply with all provisions of local, <br />State, and Federal Laws will be compfied with, whether herein specified or not. I certify that I am the owner of the above property or his <br />dufy authorized agent. <br />~ Address: <br />Signed: r - Phone Number: - ~ - <br />Pnnt Name: ~ <br />Date: Fax Number: <br />- - S <br />SWORN TO AND SUBSCF2IBED BEFORE ME this 1,0ay of 20-v~-- <br />" Rota~ a'u.. ic, Sta±e of Texa~ <br />~oJE~iNNA SCO~ <br />~ 12106 <br />FILED: Fr' <br />STATE 0F TE~S <br />` <br />, <br />MY C(x=. E)P. 01/26✓2015 <br />~ <br />G.: <br />i <br />% <br /> <br />fiHE <br />.6 <br />~ ~F , y ~ f ~ ' II <br />~ <br />