APPLICATION FOR SPECIAL USE PERMIT
(Must Be Submitted At Least Forty Five (45) Days Prior To Meeting)
Completed Application must include all fees, a site plan application along with 10 full size copies and 1 reduced copy of site plan.
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Applicant: Date: _____________________________
Address:_______________________________________ _________________________________
Telephone: ( ) Fax: ( )
Applicants Signature:________________________________________________________________
Owner (If different than applicant):_____________________________________________________
Address: Telephone ( ) Fax ( )
Owner's Signature_____________________________________________________________________
Subject Property Address:
Legal Description (Provide the legal description of the property affected - if additional space is needed please attach on a separate sheet to this application):
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Proposed Use(s): _______________________________________________________________
For Office Use Only:
Date Filed
Amount Paid: Case #: ________________________Hearing Date: Current Zoning:
______________________________________________________________Parcel Identification Number:
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Revised 03/22/02