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016 ORANGE COUNTY PLANNING DEPARTMENT <br /> 306F REVERE ROAD <br /> HILLSBOROUGH, NORTH CAROLINA 27278 <br /> c' <br /> LAND USE PLAN AMENDMENT <br /> APPLICATION <br /> All persons requesting an amendment to the Land Use Plan of Orange <br /> County are required to complete the following application as completely <br /> as possible: <br /> OFFICE USE ONLY FEe of $410 <br /> REQUEST #CAP- Z -95 <br /> �IcoOt S x50 <br /> DATE RECEIVED: 10-5 - 19i"-- <br /> STAFF PERSON(S) RESPONSIBLE: fK�l <br /> GENERAL DATA: <br /> Property Owner(s) Name: Mr. 64ar/es �V• �cL✓rS jr- <br /> Mailing Address : 716 C7raLiaw S1�'ee�, 618,4,4 AIC Z76OS <br /> Phone: (Home) g.33-8289 (Work) AI A, <br /> Agent(s) Name: lyr_ dark ZCLrQG�OZ� <br /> Mailing Address : L-PNC 1437- AoihsP.& D.-: <br /> Phone: - 7ZO a eo- 871 -74 0 G 7-75% f <br /> SPECIFIC DATA: <br /> Tax Reference: Township hWI. 4yrn�CLi Tax Map 45' Block - Lot 2 <br /> Public/Private Road Name: O/C� NC 860 �fS- (fl, S74) <br /> Lot Size: Acreage /0 7,57 To-12L Square Footage <br /> Lot Frontage IW 7/t o- OlaW Lot Depth <br /> Current Plan Category Designation(s) : General 2XIC6,077W <br /> P-o-y,e. -T.,a lsi&o r (sz Ac,­e-9 <br /> Activity Node Watershed <br /> Joint Planning Area 5-S4Cre4' ih /�il�hDrO h ET-1 <br />