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ORANGE COUNTY PLANNING DEPARTMENT 29 <br /> 306F REVERE ROAD <br /> HILLSBOROUGH, NORTH CAROLINA 27278 <br /> e <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 <br /> CP <br /> REQUEST flagr- - <br /> DATE RECEIVED: f}r)(, <br /> STAFF PERSON(S )S ) RESPONSIBLE: Stcv,-,6 I t a cAt <br /> GENERAL DATA: <br /> Property Owner( s) Name: ff.t4i;41/1„cree .(44,/,.//2,7 <br /> Mailing Address : 1-43/0 K)-(...e.,14,2,./ cy-)41,,t, <br /> / <br /> Phone: (Home) Ci/6 -etc/2,- 7ç2 (Work) <br /> ) <br /> Agent( s ) Name: <br /> Mailing Address : <br /> Phone: <br /> SPECIFIC DATA: <br /> :3, 2/ 5, 22./ 12_ <br /> Tax Reference: Township 6//v cAp Tax Map /) Block <br /> Lot qt, ;2 qt4 c 217 <br /> ci) Y6,cfr-.)31 <br /> Public/Private Road Name: Bind c3101)i QUOCCk 71- 000()Qe GCNe d. <br /> 1.- <br /> Lot Size: Acreage 71, le rocLA Square Footage <br /> Lot Frontage Lot Depth <br /> Current Plan Category Designation(s ) : General <br /> (2,71,1,14tatel A).124i4:44...e.4 <br /> Activity Node Watershed ‘,/ <br /> Joint Planning Area <br />