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HomeMy WebLinkAbout1012 Breakwater Dr - Minor Amendment/ Application - 07/28/1987S _3_7 ENT DEPARTMENT Project Name: U.4-C.- 1ESTPrTn Land Use Information: Project Number: ,��j Gross Acreage/Sq. Footage: _ ' Project Location or Street Address: �� 4 �� _..r Existing Zoning: Proposed Use: Today's Date: - Total Number of Dwelling Units: Total Commercial Floor Area: _ GENERAL Owners Name: Address: — Telephone: TION: Applicants Name: s�� Contact Person: Address: Address: Telephone: -Telephone: TYPE OF REQUEST: Please indicate type of application submitted by checking the box preceding appropriate request(s). Combined requests, except for Final PUD and Final Subdivision, require the combined individual fees. No application will be processed until all required information is provided. Additional handouts are available explaining information requirements for each of the following review processes. er. (OVER) PUD ADMINISTRATIVE CHANGE y ocLG2 ,W4#6 Description of the change and reason(s) for the request: EX'T��V 3 --fin citelAhb w 1 j Planning Division Action: .- . Date: 44 By: Building Inspection: i,.. Action: Date: By: Engineering: Action:. Date: By: CERTIFICATION e I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that in filing ftke application l am act' with the knowledge and consent of the owners of the property without whose consent the requested action canno a y be acxn ; , Malt LAP riom, l,_