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N <br /> � <br /> RrZONING RGQUGST CIIGCKI.IST <br /> /� � <br /> OWNBR'S NAAiL n /L C � �O � ' <br /> �c�� S - �� I � �l �/� ADDRGSS C� � ot <br /> .�}-' � �f��- G� � � l� ��.�GU�'� <br /> Current zor�ing (�/iti���tC�l�i� Total number of acres Current land use � 'e %���.y��y� � �°2'� <br /> �--- <br /> `. <br /> Type of rezoning requested �6W� Proposed land use ` ---� � ��G� <br /> ������� <br /> Tax map /J��Illock ll �y Number of lots y � Proposed tJater Supply: PuUlic CommuniCy <br /> Individual Jl 1'r.oposed Sewage 'I'reatment: Public iCommunity�y�Indiviclual seplic tank <br /> —7—�__ <br /> i , <br /> Access onto state road (I �,��� 1��Average daily traffic count on the state road Describe existing <br /> critical areas: I�lood prone areas Poorly drained areas <br /> Streams Other sensitive areas <br /> DescriUe land uses in: General Area_ � '�5i�e�,y��y�( <br /> c <br /> Ad jacent parcels of land _ ��5i ��t�'!e!, ( <br /> I � � <br /> I <br /> � <br /> ; <br /> I <br />