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O <br />Q: <br />REZONING REQUEST CHECKLIST <br />OWNER'S NAlSE~~,~~. l1~1~~I?T~ ADDRESS <br />Current zonln~ ~~ Total number of acres •~. <br />Type of rezoning requested ~ ~Q.~hl/5 • Proposed <br />i Q .~. r <br />Current land use >iP~i~e_h 1 ~L ~~'f'CLI'YYf~hA <br />land use ,qQ•~"~ ,Qmen1" O~eo~~r~/~czinf`nanr_~_ <br />Tax map ~ .. Block ~ '' Number of lots ~ Proposed Water Supply: Public Community <br />Individual ~ Proposed Sewage Treatment: Public Community Individual septic tank '~ ~~ <br />Q:k .grove v.+cfi ~- <br />Access onto state roa d le ~~~7 Average daily traffic count on the state road ~r~~ Describe existing <br />critical areas: Flood prone areas N~Q Pooorly drained areas N~Q <br />Streams ~~~ Other sensitive areas CdAe'- {~Y'D~PC~ '~ / R <br />Describe land uses in: General Area <br />Adjacent parcels of land <br />~.On ~1-•1Yi~~In~~~ ta~he~orlh~Yesf <br /> <br />