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ORANGE COUNTY PLANNING DEPARTMENT 48a <br /> 306F REVERE ROAD <br /> HILLSBOROUGH, NORTH CAROLINA 27278 <br /> e ....,17.% <br /> 4, <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 REQUEST # -�3 - 93 <br /> DATE RECEIVED: hp (/' 093 <br /> STAFF PERSON(S) RESPONSIBLE : S4gnCiiia 0 <br /> GENERAL DATA: /J� t <br /> Property Owner(s) Name: b-4 41 � ii.e v:AVAI ',&i <br /> Mailing Address : 1/3/0 R,,,,,,es14w (Q2 n,m7 f"„J 27>,1 <br /> Phone: (Home) 9/ - 112- T f 9 (Work) S'a�„,, <br /> Agent( s ) Name: <br /> Mailing Address : <br /> Phone: <br /> SPECIFIC DATA: 1) 3, 2{, 5, 12 12c <br /> Tax Reference: Township AVJhA/rn Tax Map // Block Lot `iE, t2 vA %i/ <br /> Public/Private Road Name: /� 7c, `�� <br /> t3('ndshQV� Quacr�f � O�G�9e Grove Rc�. ' � ,� , <br /> Lot Size: Acreage , j rocLc Square Footage <br /> Lot Frontage Lot Depth <br /> Current Plan Category Designation( s) : General ✓ lirttazibiY./ .a.d; ,, <br /> Activity Node Watershed ,it <br /> Joint Planning Area <br />