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ORANGE COUNTY ?LA NTNG DEPARTMENT <br /> BILLSBOROUGIE <br /> xOgNor= cROLI 073 <br /> 27278 <br /> 4b Ir74' <br /> V471aryl Wes,` <br /> LAND USE PLAN AMENDMENT <br /> APPLICATION <br /> All persons requesting an amendment to the Land Use Plan of Orange County <br /> are required to complete the following: application as completely as possible: <br /> OFFICE USE, ONLY ! • <br /> REQUEST #LUP- - <br /> DATE RECEIVED: <br /> STAFFPERSON(S)-RESPONSIBLE: - <br /> (Oak 1 GENERAL DATA: Gc 7L/�- Cy. ��v��J <br /> Property 01Wner(s) Name: � �n p. / // <br /> Mailing Address: <br /> Al. 5" go o7/72-4 -0-iane <br /> Phone: (Home) 3-£"S/2'2 (Work) 6 " "2 <br /> Agent(s) Name: • <br /> Mailing Address: <br /> Phone: <br /> SPECIFIC DATA: Block : Lot <br /> Tax �� <br /> Tax Reference: Township Map <br /> Public/Private Road.Name: <br /> Lot Size: Acreage <br /> Square Footage <br /> Lot Frontage Lot Depth <br />