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A Pi'Li AN`Ci React and fiillow instructions set fnrt11 on last
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L','Appficatit',s tame C � /� 019L L
AppRean(" t'Vfailing flddrest,;
Applieant'sXn(erest in er, T,essce; Ottier)
Uwtier�s Namc and Address `
Contact person 1'ar Ptdject (if otfter than a}i iicant) ,�
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Assessor'sPrrelIYumber( )_ _
�'resen!` �`dnfri
Rquested Zoning
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Loca�ticn dimehston:.and site of area`s) to be rezoned
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pit. tions fart"navel to Prouty 6� rouhtair,�Sus
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Applicant's reasons for.reionin$
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ArYttcipa#ed �neruraental�deve�op {future develppment plaits sulbseuent,t`
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Prokimity Of 06' artdphdrielines ,
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fi residential, include the number of units, .whetherunits are sin gle or
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i ynstitiltional indicate the tta�or function, estimated employment
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Ek*i#IItbNi4IEN`l`1 LIMPACTSt NC`I �TI0' TI NMhA ' CI�2FS
Tdenttfy potent�aYly srgruflcant envYrorimental impacts associated wt!
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Dated `" .- Applicant's signature ,
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California .Native P1 art
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