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� <br /> REZONINC R�QUGST CHGCKLIST C � <br /> . � <br /> OWNGR'S NMfE ��.J i�0�/�r'S � ADDRESS ��l.L�j N(i �%, �Q�j /v�/ ��?�� <br /> � <br /> Lr/1�� <br /> Current zoning ��, � Q�. Total number of acres 5•�ctJ Current land use� ��.� <br /> ����� <br /> Type of rezoning requested �C " '�J Proposed land use �me �s �r�7`us� • <br /> Tax map � ��� Block d� -- Number of lots 2 Proposed lJater Supply: Public Community <br /> Individual � Yroposed Sewage Treatment: Public Comawnity Individual sep[ic tank G� <br /> Access onto state road 0 e�,/ Averase daily traffic count on the state road •�� 7��Describe existing <br /> critical areas: Flood prone areas IV�Q Poorly drained areas ��� <br /> Streams �� Other sensitive areas �/Q <br /> Describe land uses in: Ceneral Area /�yricv/t���/�esi�len ta / <br /> Ad jacent parcels of land �Qq�iCL��dr� �--l�ro/��Li'�7G1 f� 7�S�LY"�Pi <br /> '� 1�9(� cav� f'nea� CasivellC,�unty li�e <br /> t <br />