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ORANGE COUNTY PLANNING DEPARTMENT <br /> 306F REVERE ROAD <br /> HILLSBOROUGH, NORTH 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: W) ,%Ocl <br /> GENERAL DATA: a <br /> Property Owner(s ) Name: <br /> Mailing Address: <br /> Phone: (Home) 4Z-'Jq v <br /> Agent(s) Name: <br /> Mailing Address: 1 �-� r �C 2-7= <br /> Phone: <br /> Lw z ash N �z - jZ2 �- <br /> SPECIFIC DATA: <br /> Tax Reference: Township Tax Map _ Block Lot_A755 <br /> Public/Private Road Name: S 100 <br /> Lot Size: Acreage ± Cr. Sq are ootage • <br /> 100 01.1> ���� /1 .414 <br /> Lot Frontage 20 1 C2 Lot Depth V a.(uA - 16 OAr 'k <br /> Current Plan Category Designation(s) : General <br /> Activity Node Watershed t� <br /> Joint Planning Area <br />