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30 <br /> REQUEST #541E- t <br /> SPECIFIC DATA (continued) : <br /> Describe Land Uses in the General Area: ' /7 <br /> /(1. 1.2 <br /> e te _ <br /> On Adjacent Parcels of Land: <br /> 1 4.- <br /> REQUEST: <br /> Land Use Plan Category Designation(s ) Requested: PORRL <br /> Type of Amendment: Primary \/ / Secondary <br /> * * * * * * * * * * * <br /> This application should be submitted with the following materials : <br /> Fully dimensioned tax map on which is highlighted the parcel, <br /> jor portion thereof, in question. <br /> Legal description of the parcel, or portion thereof. <br /> Letter of request to include: <br /> o the tax reference, general location and owner of the <br /> parcel <br /> o the current and requested land use plan category <br /> designation(s ) <br /> o 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 /> o a statement of any other circumstances, factors and <br /> reasons which the applicant offers in support of the <br /> proposed amendment <br /> o 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 /> ilerz.4 icy d ck . A-Seti t/ 41/ <br /> NAME OF APPLICANT SIGNATURE OF APP ICANT( S ) <br /> O - <br /> DATE <br />