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TOWN OF MOORESVILLE P7 <br />APPLICATION FOR <br />Date of Filing: I/y//J /df�jf_ <br />Petitioner: I�OI�JOti I 1 awtf11 l�[Jedayk Phone: <br />Address: 2i'a> $k J 181 ayysVl ll,, ��P4-6115-8 <br />55-o)- IS- y9q_ oa3_ou),-ebb <br />Parcel Number:55-Dj-75 4S�-6o7m, oO'` <br />Leal Description: 43) IL4, c„–A 4s tv, <br />� <br />1 <br />t�...1 J 15,.J`n :v� 1�✓\nr'N R.,I�Lv � <br />Plat Size/Dimensions : G e �ut St' x 132.' C ESQ' x 1-52, { -Ow <br />Acreage: �� �-21- C.Gres l`�©>,��G L :/Fronting on: - C r,o- a IA /'Jr 134o I Ave, <br />Number of Lots: <br />Nature and Size of any Current Improvements: hsz_lwel 6mc. Ili <br />Present Zoning Classification: R <br />Proposed Change in Zoning Classification: <br />Proposed Zoning Classification Requested: <br />Date: J / / �i �� ��✓V/` �L> s <br />Petitioner <br />NOTE: Attach copies of proposed Plat showing access <br />improvements and adjoining property owners with scale. <br />Applicant's Attorney Applicant's Surveyor <br />Name: <br />Name: <br />Address: _ <br />Address: <br />Phone: <br />Phone. <br />2016 <br />