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12 <br /> REQUEST #LUP- <br /> SPECIFIC DATA (continued) : <br /> Describe Land Uses in the General Area: LIGHT INDUSTRY, CHURCH, <br /> RESIDENTIAL _ <br /> On Adjacent Parcels of Land: RESIDENTIAL, CHURCH <br /> REOUEST: <br /> Land Use Plan Category Designation(s) Requested: 10-YEAR TRANSITION <br /> Type of Amendment: Primary X Secondary <br /> This application should be submitted with the following materials: <br /> J Fully dimensioned tax map on which is highlighted the parcel, <br /> or portion thereof, in question. <br /> Legal description of the parcel, or portion thereof. <br /> Letter of request to include: <br /> • the tax reference, general location and owner of the <br /> parcel <br /> • the current and requested land use plan category <br /> designation(s) <br /> • a narrative stating the manner in which the proposed <br /> amendment will carry-out the intent and purpose of the <br /> adopted comprehensive plan or part thereof <br /> • a statement of any other circumstances, factors and <br /> reasons which the applicant offers in support of the <br /> proposed amendment <br /> • statement of the changed or changing conditions in the <br /> area, or in the County generally, which make the proposed <br /> amendment reasonably necessary. <br /> I (We) , the undersigned, certify that all statements furnished in this <br /> application are true and to the best of my (our) knowledge and that the <br /> application as submitted is complete. <br /> A=S CALLEMYN- PIS <br /> NAME OF APPLICANT SIGNATURE F PLICANT(S) <br /> I <br /> DATE <br />