11
<br />PE
<br />'OWN OF CHAPEL HILL - LANG DEVELOPMENT PERMiT APPLICATION
<br />Wn r _ t o v v n o f e h a n a I h i 1 1 or /Tannin grin dex h
<br />(Revised January 6, 2006)
<br />APPLICANT (person to whom correspondence will be mailed):
<br />&04hor N"
<br />city.--46y ,g- State: Ne. zip: 2,7607 (%r �� C �„t/r � IAO 7 7A �-
<br />Phone: (Office) (Cell) (E =Mail) �0 7,ro V 70 38'
<br />PROPERTY INFORMATION:
<br />Tax Map(s): 2�_Block(s): Laf(s }: '�' Property Identification #(s)
<br />Address:
<br />Location: SQ VT - ' side
<br />(north, east, south, west)
<br />Zoning District(sl and Gross Land Area Within Each:
<br />Present Land Use(s): V&Apri
<br />Land Area within Resource Conservation District (RCD) and/or Watershed Protection District: AlodB
<br />Has this request been reviewed by the Community Design Commission ? If yes, date(s)
<br />Name of Proposed Development: f¢' "-.r*s .0 i►'Wtri� rsA/ -re io 0-A'4 j1t%
<br />TYPE OF iZEQUEST ............................................ ............................... .........................REFER TO KEY ON REVERSE SiDE
<br />Administrative Review ................................................................... .............................1, 7, 9, 12, 14, 15, 16, 17, 18, 24, 26, 27,26, 29
<br />Resource Conservation District Encroachment ....................... :............................1, 3,4. 9, 1Z 14,15, 16, 17, 18, 24, 25, 26, 27, 28, 29
<br />Site Plan Review ............................... ............................... 4.7, 9,12, 16,17
<br />........ .............................1, 2, 3, , 18.23, 24, 28.27.28, 29
<br />Fnal Plans - Zoning Compliance Permit .................................... ............................... t, 3.4,9,19,14,15,16,17, 18 or 22, 24, 26, 29
<br />Minor Subdivision (including townhouse divisions & commercial subdivisions) .. .............................1, 3, 4.6,13,14,17, 22, 23, 29
<br />Subdivision - Preliminary Plat ........................................................ .............................1, 2.3,-4,6.7,11,17.1-9,22,23.24,27.28,29
<br />-Subdivision;- Final Pl at ........................................... ..............
<br />. ..... .............................. 8,10, 13.14, 17, 22, 29
<br />_.,...Special Use Permit- Special Use (SU) ........................... .............................1, 2.3.4, 5, 7, 9,11, 12, 17, 18, 19.23, 24, 26,
<br />. 27, 28, 29
<br />Classification of SU:
<br />Special Use Permit - Planned Development (PD) .............. ......................... 1,2, 3, 4, 5, 7, 9, 11,12,17.18, 19, 23.24.26, 27, 28, 29
<br />Classification of PD.'.-
<br />RCDMfatershed Protection Variance ................................................................. .............................1, 2.3,4. 5, 9, 12,17, 23, 25,29
<br />VarlancelAppeai....................................................... ................................... ............................... ..1, 2.3.4, 5; 9, 12,17,23.29
<br />Zoning Map Amendment: from -7- c. ............... ...,,.......1.2, 3, 4.17, 20, 23, 28, 29
<br />Master. Land Use Plan ..............................:..................................................................................................... ...............................
<br />Other
<br />The undersigned property owner(s) or contract purchasers) hereby auttiorize(s) the filing of this application, and authorizd(s)
<br />on -site review by authorized staff. ,
<br />4- ZOO&
<br />Signature: Date:
<br />The undersigned applicant hereby certifies that, to the best of his or her knowledge and belief, all information supplied with
<br />this application is true and accurate.
<br />
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