HomeMy WebLinkAbout64_ ANNEXATION
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_ COMP. "AMENDMENT
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_ REZONE
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_ SPECIAL PERMIT -
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_ TEMPORARY PERMIT - - •
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_ CONDITIONAL USE PERMIT
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_ SITE PLAN APPROVAL
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GRADE & FILL PERMIT
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(NO CU. YDS:
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I- VARIANCE
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(FROM SECTION:
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_ WAIVER
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_ WETLAND PERMIT
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_ ROUTINE VEGETATION
MANAGEMENT PERMIT
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BINDING SITE PLAN
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SHORELINE REVIEWS:
_ SUBSTANTIAL DEVELOPMENT
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_ CONDITIONAL USE
5
_ VARIANCE
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_ EXEMPTION
$No Charge
REVISION
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SION_
INE ADJUSTMENT
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T PLATATIVE
PLATIMINARY
PLAT
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PLAT
FNAL
UNIT DEVELOPMENT.
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MINARYOME
PARKS.
3
�CENVIRONMENTAL REVIEW
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I (P— Name) deWre that I aT (please cr1tck one) _ the owner of (hf' property N stat t Nis applratnon _ tt+e
autnonzed •cpreserrtahve to act for the property Owner Ipbase a[taU proof of author¢abon,. and that the forego�ny s:atertlents ana answers
harem costa—d arxJ the mformano, he -dth w.-y 4teo are m all mspe true and cones 10 tne hest of my know*<lge and bebef
ATTEST Sutmcnbed and sworn to before me a Nary Pubhc. m and
for the State of res1d1rg at
!Name of Owner/Representative) _ on the _ day of
20
(Signature of Owner/R epresentatrve)
ISignature of Notary Pubhct
p�ete3Yby C4y ShiL) e>
*'t P-5-CAP-6 C.A CO*k Gtj4ie LLA
r1 �A `SHPL H 'SP SIYf SIYIE TP - V-H W
POSTAGE PROVIDED -,Si
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