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ORANGE COUNTY PLANNING DEPARTMENT 22 <br />306F REVERE ROAD <br />HILLSBOROUGH, FORTH CAROLINA 27278 <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 />REQUEST LUP- — <br />DATE RECEIVED: <br />STAFF PERSON (S) RESPONSIBLE: <br />GENERAL DATA: <br />Property Owner(s) Name: <br />Mailing Address: <br />Phone: <br />Agent(s) Name: <br />Mailing Address: <br />Phone: <br />SPECIFIC DATA: <br />John Prope r+y <br />r. <br />_,2 734/ <br />(Horne) 919- (a63_ - &[2_ (Work) 9)9- 373 -6901Q <br />Tax Reference: Township -7 Tax Map 19 Block Lot <br />Public /Private Road Name: vie- <br />Lot Size: Acreage -5,72 Square Footage <br />Lot Frontage <br />Lot Depth <br />Current Plan Category Designation(s): General <br />Activity Node / Watershed <br />Joint Planning Area V <br />.. <br />