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i <br />CITY of Lou ISVILLE <br />APPLICATION for ZONING VARIANCES and <br />SPECIAL EXEMPTION PERMITS <br />APPLICANT INFORMATION: <br />APPLICANT <br />ADDRESS <br />TELEPHONE_ <br />OWNER <br />ADDRESS <br />TELEPHONE <br />GENERAL INFORMATION: <br />AREA of PROPERTY: ,.OltACRES of SQUARE FEET <br />CURRENT ZONING ;�D PROPOSED ZONING - <br />CURRENT LAND USE <br />SUMMARY of PR P SED <br />[ VNA [ (JRE`S : <br />- APPLICANT _.._ <br />OWNER <br />[ FE! <br />AMi JUMT ASSESSED = .$ 50 <br />AMOUNT PAID $ <br />FOR STAFF USE ONLY <br />/deer <br />ENCLOSURES: <br />APPLICANT'S LETTER <br />SITE PLAN <br />VICINITY MAP <br />DATE OF PURL [CATION <br />AGENDA ITEM: <br />DATE l /".- W <br />DATE <br />PROPOSED ACTION: <br />