CU2-81 !ass ._
P1141.
611
EDWARDS IND. CU 2-81
See CPRPD 2-81
aur1E.CKANGU - COi'.DI'r• 'NAL USE - V#t1-A-NeE - Ti.'. ?ARV ESE - NON-CONFORING
USE REQUESTS
APPLICATION . File
Fee Rec'd.
Tigard Planning Co:mission 639-4171 Receipt #
Y2420 S.W. '.lain St. , Tigard, Oregon 97223 Date Recd.
By
The "contact person" named in this application will receive all major correspondence
from the Tigard Planning Department and that person is responsible for providing same
to owner, architects, engineers, consultants, etc.
In this case �t/h}e"coo�nttac[t person" is:�/
NAME 'v 11V- VI ttt•+/ wn. I LOCM
ADDRESS l 4i L 1D 112oe
TELEPHONE 22.1-pAsc
All communications from this department shall include the appropriate file number.
The file number in this case is
I have read this section and I agree, as the "contact person", to provide all infor-
mation to other persons with an interest in this project.
Signature
- ... date
PLEASE PRINT IN INK OR TYPE
Action Requested Clit4EA1 �L L LF7E. rcp- ^SCrice ji '1
Applicant's Name 1. I^ 1S.,ytlE Phone IBJ
Applicant 's Address (p�7F 10a E',-11E.-.41T-76k)
� p�. 1 �,p
(stree city) state) (zip)
)wner's Name
Phone
)akner's Address
(street) (city) (state) (zip)
1pp_ :ant is: Owner`' Contract Purchased Developer Agent
Other
Avner Recognition of application:
- • tsy, / l
ign• ure •1 owner(' `
'erson responsible for application G21,11dVF - L V _ a)C
Ap Cl
(^it ��
Y) �tate (ti�
ROPERTY INVOLVED; Tax Map N.ALLA rax Lot(s)
Area D,q4 f e.ge (acres)
xisting Buildings (N rand type) /J . FQf, h /lc
�
urrent zoning �
Current Use 4e
pnlicant's
ropoeed zoning Li•�j Applicant 's
Proposed Use Orr/ZS
,H.`.IISSION Title Report
RMISSIONFasano" Requirements
Legal Description Vicinity l.1ap
__Tax Map _— Site Development Plan