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MARION COUNTY URBAN'CONDITIONAL USE APPLICATION <br /> <br />Applicant: Please check what you are <br />appl¥inq for: <br /> <br />Non-Farm Dwelling <br />( )Fee: $250.00 <br /> <br />Temporary Care Home <br />( )Fee: $200.00 <br /> <br />Farm Dwelling <br />( ) Fee: $250.00 <br /> <br />Home Occupation <br />( )Fee: $250.00 <br /> <br />APPLICATIONS RETURNED BY MAIL WILL <br /> <br />NOT BE ACCEPTED <br /> <br />1. Applicant <br /> <br />2. Property owners (If not applicant) <br /> <br />phone <br /> <br />If the Planning Division has <br />questions about this applica- <br />tion, who should be contacted? <br /> <br />Name <br /> <br />Address and Zip Code <br /> <br />Address and zip code <br /> <br /> 3. Contract and/or mortgage holders Address and zip code <br /> <br /> 4. Applicant requests: ~ ~F~C~_ OLDF~ ~O~/~z~n4x ~O/77~ <br /> <br />5. Address of subject property <br /> <br />6. Size of subject property _~-3& ~~' <br /> <br />Section Township <br />Tax lot number (s) <br /> <br />Range <br /> <br />Zone <br /> <br />Zone map number <br />Type of case <br /> urban or rural <br /> <br />Signs given <br /> <br />(number) <br /> <br />FOR OFFICE USE ONLY <br /> Application elements submitted: <br /> (a) Title transfer instrument <br /> --~:c__ _ map- <br /> (c) Plot plan <br /> (d) Applicant's statement <br /> (e) Filing fee <br /> ~~an's C'crt~-f~a~-e <br /> (g) City concurrence (if required) <br /> (h) Redevelop. plan (if required) <br /> Date app. accepted <br /> <br />Date determined complete <br /> <br /> <br />