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SPECIAL PERMIT APPLICATION <br /> COUNTY OF IIANVAII <br /> PLANNING DEPARTMENT <br /> (T5'pc or Print the requested information) <br /> APPLICANT �r �{CL} r� r'S e-!11 i/e-P Tf-�d-mer& <br /> APPLICANTS SIGNATURE DATE: <br /> ADDRESS: d PA cf w c, ., � (4 --, <br /> p <br /> LIST APPLICANT'S INTEREST IF NOTONVNER: N� — <br /> TELEPHONE: <br /> REQUEST: S C ' Rp-r vv-,; <br /> TAX MAP KEY. 3)_�" OQ 3 al `� ZONING. 6--z o <br /> Property 29.630 Ac4n <br /> AREA OF PROPERTY/AREA OF REQUESTED USE REQUESTED USE AREA 3.03 ACRES <br /> LANDOWNER: -t { ; I .r Re-L If- Fre&4-nierr� L. LG. <br /> LANDOWNER'S SIGNATURE: DATE: C—^ / b "'2-D-2-� <br /> (Mzkv be by letter) <br /> LANDOWNER'S ADDRESS: Z-O V 4 It le 7-3� <br /> AGENT: J 1 0 C l/ D 3 A tj O <br /> ADDRESS: �3 Kk lcuck-Yl ax c� 34- ._ -- <br /> �-�-i' o I I c -1'2_0 <br /> TELEPHONE: (Bus.)F0 3 _9(00 r�kS�Hon,c) (Fax) <br /> Please indicate to whom original correspondence and copies should be sent to: <br /> ORIGINAL ?I? !" C(LV'Lf COPIES: o �-&)np <br /> Planning Dept. <br /> Exhibit 1 <br />