HomeMy WebLinkAboutPROJECT INFORMATIONRECtIVELi ,
C:; LU OUPd l• Y � ��i� i
PLEASE PRI T. DO NOT COMPLETE SHADED AREAS. DATE:
USE BLACK R BLUE INK ONLY. 93 Nov -5 Pilo
PROJECT INFORMATION (- iY i;E`dc`t_0?�CPeI"`
PROJECT l� DRESS:
SITE PLAN/ ' ROJECT NAME:
SUBDIVISI N:` r/iOU �( (iG OT: �_ BLK:
.,, $
IBM. mm
��-
.lmfmi;G'dm- - R.awJiaE Boom
: 1
,,.PROPERTY TAX ID #: _ � /
PARCEL IZE :(ACRES OR SQ.
LEGAL DESCRIPTION: It uelAr &Ecv- 7
f13 c- 0 1
OWN NAME: ZAV PC
ADD
C
!r� s �—
7 .., �� ;STATEL
IF TH FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FRO. THE OWNER
LISTEb ABOVE, PLEASE FILL" IN NAME AND ADDRES.G BELOW.
FEE IMPLE TITLEHOLDER: �; •-
AD RESS:
ITY:. Z1P:
/ 05
rc'D..�^ ~wax-.t'aeYw..w�::-:.w,>`,$�`- ;�i.'r�.tvui -- � '`a.w. --v\ ^� ;acoGwj;/•.v7E