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STEPHEN G. lTDLM, S
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Addeo a0 28 Plumtree Dr. IiollistGr, Ca. 9502.
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Owner: SAMe
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Type of it pliopt-(,o U80 permt to allow a mobile home: sales lot:,,
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,oCaao l On the northeast cornier of LaPorte goad'and
or I-IWy. containing 3.84 acres, more or less f Bangor
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pnt4 Appliclatloo xq geiVgdo 3/'19/76
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Date nottoos mr t l.aa�_ .... /30/76 number'l 2.8
First ho(kt�,nq. 5/20/76
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NOTICE TO APPLICANT
1, if applicant is other, than Owner, a proof of agency must be supplied In writing
In order tolegally sigh the "ApplIcatlgn for us-so Pormit/variance",
I Application shall be considered void If not 819hod by owner or his-lopi ngonk,
r?, All Items on application shall be completed. If an iteral is not appiiaablg, Indlw
cato by the symbol n/a.
?, Explain briefly yet completely the nature of the proposed use-varlance, Tills
is very fmp�rtant.and ar'rogti`i's"fte' . b
4r. Yen Ycopies of a detai led plot plan folded 8+/211 x .l t„ shall aC"mpAny and be
made a part of the "Application for Use Perm It/Varlanco".
The plot plan shall Include the followirtp
a. A scaled drawing of the parcel(s) boundaries,
b, vocation of, all existing and proposed buildings and improvement$,
c, Location and size of existing �,And propo:ied access to the subject parcel(sj,
,J, Identify streets bordering property and nearby crossroads, Provide a loca"
tion reap if neoessary. Show forth Arrow.
5, Applicant shall further understand that the "application for Use Permit-
Variance" shall be subject to the approval of the Planning CoMmIS9160, or,.
upon appeal, of the Board of Stipervf cors, Any subsequent apeoiaf
conditions
ordered by the Planif►ng Uommissloh shall be made a part of the approved
"Use Permit/Variance"and shall be binding on the applicant,
S, Unless conditions of approval have been compiled with, in Fa one-year period',,
thta "Use Permit's will be doomed expired,
i hereby declare under penalty of perjury that I have read the foregoing
Instructions and statements and understand their meaning and oohtext,
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' ^lefiv It4111
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P
13 Doers the ro ect arca or, the project site sea:ve as a
p �11bi t�#C,.
jne8tin,
food 8ourC�!, _
placep source of water, etc. for rare,
or endangered wildlife or firth species•)
�. 14
Could the project significantly affect fistl, t✓i:ldlifea or
Plantlifeo°use substantial. interference With the moV: -
X
mres
y dent or mig.rarory fish at, wildlife species?
15,:
.Are there. any rare or endangered plant species in the prd.
,ject area?
X'
l6.
Will the project removei substantial amounts of vegetation
including ground cover?
X
17•
te P jchange features of any of the
re i0nld
scJatercourr�esor other
g bodies of water7
X.
18.
Could the project result itn significAnt change in the
hydrology of the area? (su'e Notes.)
X
19.
Cou,:d the project significantly effect the functioning of an
established community? (See Notes.)
}(
20.
Could the project physically or'economically result it! the
displacement of community residents?
X'
21.
Could the project significantly affect an historical or
archaelogical site or its setting? (See Notes.;)
22.
Could the project serve to encourage development of presently
Undeveloped areas or intensify development of already Bevel=
oped areas? (see Notes,)
X
23.
Are you azure of. a substantial body of opinion (present or
anticipated) that considers (or will consider) the project
or its effect to be adverse to the enVironment?
X'
24.
Will the project create new or aggravet:e existing health
hazards?
X
5,
Will the project involve the appliraton, use or disposal o
potentially hazardous materials in an amount suff`icien't to
cause a substantial adverse effect? (See Notes,)
X,
26.
Could the project generate significant amounts of dust:-,
smoke, gas, odors, or other ,air pollutants?
X
21.
Could the project generate significant naise't
X
2E1.
Could the project cause contamination of s public water supply
system or adversely affectground water?
X'
,._
29.
Could the Project significantly affect the potential use;
extraction; or conservation ;of ii natural resource? (see- lgbte$,)
X
30..
Could the project'resUtt in dams 'e to :1031 capai;ility iyr loss
of agrid6ltural land?
X
3'1:
Additiowil feinark'd". '—
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llotiaa iaheivri4y g�von by sha M%t to Caunty. 1,14,11 .� Coftilimit� n th.0
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7.�
r� �17r�, .,�.rrt`otq t�t����� t��4�.�.�b�ri�»�,q X+r3ga��.'�h�'�
a Yir n c��ms a Y� i'i �Yrn ','tael��s�t $ k � i`�omo r3al ofj l
. A �,tout,
ic�pr�r r�ranac y 1iaarlt dorhoi. 6z
nrav�rara�f+ ti�tciel»� Tao Ztc�td„cac1.� A
2a 41ahn Ha Biblrao Jvo ia: ova
aa5ari ',A,„, � lrattia'ra� ` 100, (14 Oa the ani% "'Adf) sof, Ova Daa 'ava Weot
.n �tni�r►Y'raa�xi� ��et�t ate Ap 1,0���,*�fi'� ()eia
4
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a Ttr ti •c iz TUP Ttddlt 7 on Pago 34 Of *ho t3iiftd. Obunt;r
ClOntaif4 x�� 8-2aoftao t ova or I aso,
46
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to "A1� AEI �a��:l't�.1�t,+�ra»a�i �ttib�ia Tt�mrtics :i
00 fto aaG 1V'"7por v
ctr 3.a 3�ac as A ` J�0 11.01 Moro �f ��r� 43 Li �^ ���a a,ui
% of
�ra�d
Tb;4 horthotiv 20
O poi' lijap or peooj*i�t1 � t� Tt�►� �20 NUO county.
or
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Odd tioh. W the" Ati6Vd o thdild Will t.6 6 �dpdkit dtio �� �� � �� i �� �� �
ihtotO�t 6ft 6Aid ly b0&0 P&Mable ate Or b6f6l4e MOdh 29tho, 1011
BEIIC ANiTIC3R BQR1ioW I3�3SRiCI-
Ta< ORQT/t TIT[ COMPANY'
r#t Sr< 76M,
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Note acxc , . " ford c€ss r c t;er ;, check
Lnc `rust gee4 far .
Pius. Fct�tc� 4 6rerest a _ a ra
tate^ Onc t ROO QeecEhv t'mcac o
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repo nod rF7�, lT datedi f €r t o
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to a cceedr 1i,et pvr..cfiase sr,ce� ¢s Ezrd Cate 5erauu on t �jaea � �R�1 M ria ea arta etp
its ::?skit Fr' c " r e er ' r` ayt
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t cane o G.: _ taxes na r�etinctuet ca ate.
oP record:" t Eorrdrha� res'LiCtiaflSi� �. _
��easerr:e�� cct�e�e�'
gratirtt Acry report xferns' number
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