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<br />. CITY OF LA PO~ <br />APPLICATION FOR <br />SPECIAL CONDITIONAL USE PERMIT <br /> <br />OFFICE USE ONLY: <br /> <br />Fee: $100.00 <br /> <br /> <br />Certified Phms Submitted: <br />() General Plan ' <br />(~ Minor Developement Site Plan <br /> <br />() Major Development Site Plan <br />( ,) Preliminary Plat <br /> <br />Date of P &: Z Public Hearing: <br />Date of City Council Meeting: <br /> <br />Person Making Request: <br /> <br />Mailing Address: <br /> <br />City IState: <br />BUSINESS NAME: <br /> <br />PROPERTY ADDRESS: <br /> <br />LEGAL DESCRIPTION: <br /> <br />ZONE: <br /> <br />TYPE OF BUSlNESS: <br /> <br />:shJ ) rev <br />DATE <br /> <br />Zone: <br /> <br />This application is : <br /> <br />CLP JOB /I <br /> <br />A."\1\N , <br /> <br />, , <br /> <br />IV ~:n~ ) <br /> <br />go I <J?~1t(\' e IJ+ /JdJII ~ ~~:J <br />I : A. f5Ojl.A-t, '--y(x. ' " , Phone: ~ ~l f! S-o t.f 7- ;;;. ,7- <br />7C JC~ 6 0,61\1 l/~!JJ J- 6'70.JL,-e <br />60 )'2nJvi:xJ\);l.j ao J- ' 11 Jy d <br /> <br />/} '''T <br /><l5~ <br /> <br />SIC USE CA <br /> <br /> <br /> <br />'I ',,.QI/,- 1- ~7M <br /> <br />t.j J.FlJ!~ ~ <br /> <br />, , OFFICE USE ONLY <br /> <br />Recommendation: Y or N <br /> <br />Approved: Y or N <br /> <br />Approved ( ), <br />Permit No. <br /> <br />Denied ( ), <br /> <br />(If Assigned Yet) <br /> <br />ConditioDS: <br /> <br />DATE <br /> <br />, <br /> <br />_B.E <br /> <br />ZONING ADMINISTRATOR <br />