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REZONING REQIIp$1 CHECKLIST <br />OWNER'S NAMY ��� c� �r MCA,42� <br />ADDRESSp/ <br />Op� <br />Cuare,,L muing QM1 'Ib rel n ..... bet <br />of acres 1� Current land ,a y �" <br />u <br />type o femning request' s A45,ve $ <br />J, <br />Prep land use pqunome "1 }R 4qp t��yA 't <br />Tax map ayskl IA clock tl Nance, of lots <br />i proposed (later Supply pulmllc Cmmnunity <br />l,d�lvmi�d�,Cal <br />✓; propp,sed Sewage Treatment <br />Public Community indlold,al septic twik ✓ <br />/ <br />,rjie <br />_ <br />Ar esp ant, t, StateTlaqd 1117 Averse, <br />daily traffic mmmt on the state road �Oesrrlbe exiting <br />critical areas. Plmd N�a <br />N�Q <br />pease ar eaa <br />Poorly drained <br />saeama <br />_othar ac,,i"ve ar as Cane -Pr Yea�iN tV <br />Describe land uses in: General Area dadcu/tlra <br />I' (le�5 e le lial <br />Adjacent parcels sf land�(j'a l- �p5 /r�On l/ T7Jp� <br />X- on Mt. Nillirl�gAtl ti; the ronlhrvesl <br />