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4 <br />-ORANGE COUNTY PLANNING DEPARTMENT <br />306F REVERE ROAD <br />HILLSBOROUGH, NORTH CAROLINA 27278 <br />LAND USE PLAN AMENDMENT <br />APPLICATION <br />AN <br />MEN 10 <br />13 <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- I - <br />DATE RECEIVED: I --`s -9 q <br />STAFF PERSON(Sl RESPONSIBLE: �e1� �S�QnGt <br />GENERAL DATA: <br />Property Owner (s) Name: ob C Z cl' <br />Mailing Address: �L Z-7 -'5) <br />Phone: (Home) <br />-5yZ -_Jq O (Work) <br />Agent(s) Name: `-- <br />Mailing Address: 1 C 17L� �C Z <br />Phone: <br />SPECIFIC DATA: <br />Tax Reference: Township Tax Maip Block Lot._» � <br />Public /Private Road Name: S 100 1- <br />Lot Size: Acreage C, Srnaare Footage. <br />oo 1 O L•;> G,. 1 -W / w_". %W <br />Lot Frontage 22,00/ 1-!±O- Lot Depth Current Plan Plan Category Designation (s) : General ru,� �.D'`�•� <br />Activity Node Watershed N7 <br />Joint Planning Area tx <br />