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p.2 <br />A , pr 11 1 2813923687 <br />13 08:36a Charles Troncale No. 3126 P. 2 <br />Apr, 11, 2018 10: 19AM <br />Zone Change Application <br />0 Planning and Development Department <br />Address where zona change is being <br />Legal descriptfuri where zone charge <br />MCAD Parcel Number ver re gone- change . being requested: <br />Zoning Districu Lot -area-- <br />A request far approval of azone- change is hereby made to tfiv City of La potru. <br />Qc5crlption of <br />Attached hereto is a Projert Description Letter descrUng the prajcrt-a"d outlining the reasQris why such SCUP should be approved. <br />MOON% ~M 0', 06M."i <br />Name: <br />company (If applicable) <br />cl <br />Phone- <br />conipariv (if applircaW.),, <br />State", zip.: <br />Email-. <br />MO-KAN MR, MANA, ,NA*,O1^ <br />State. <br />I hereby depose and state ander the penalties qf perjury that all st-aterneh4, proposals and/or planssubmittedWith/or contained In <br />this OPPUC&OOn are AtMacarlrerd-t and the application Is complete tQ the best of my knowledge aandbelld, <br />Agent's Signature: Date:- <br />Owner(s), Signature(4: M <br />STAFF USE QAIM <br />Case Number: <br />. .......... . <br />Date Application Received- <br />