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TOMIT OF MOO SMILE PLAN COW41SSX ®N <br />APPLICATION FOR REZONING <br />Date of Filing: !// /J <br />c^ �!� yti) Phone ° 317 3/ <br />Petitioner: b� i <br />Address, <br />Parcel Number: <br />Legal Description: �s 13 -r 13 <br />Z-1- e-. l tJ So <br />Plat Size /Dimensions: p umD gg <br />Acreage:- nS15 <br />Fronting on: /il��tMh1s 1G t <br />Number of Lots: <br />y� ►gig <br />Nature and and Size of////� <br />any <br />improvements: <br />Obn • <br />�V14JG� 3v+ <br />- /.72 <br />nCurr✓e�nt <br />-/ <br />Present zoning Classification: <br />Nature of Proposed Use:�u9S <br />Date: // L_ ~ <br />Petitioner <br />NOTE: Attach copies of proposed Plat showing access <br />improvements and adjoining property owners with scale. <br />Applicant's Attorney <br />Name:_ <br />Address: <br />Phone: <br />Applicant's Surveyor <br />Name: _ <br />Address: <br />Phone: <br />