HomeMy WebLinkAboutA004 - Development Application Form dated April 23, 1999 DEVELOPMENT APPLICATION FORM Effective Date January 1,1997
Property Owner F k -0 R-477 a ? MRS&Uk LV—
Address 1AP 61. I IG1-10[4-S
(Street) (City) (State) (Zipcode)
Telephone 469 2 - to
(Business) (Home)
Contact Person
Address
(Street) (City) (State) (Zipcode)
Telephone
(Business) (Home)
(Fax) (MoWle/Cellular)
Project Name and Project Description:
INiA60 OW.-C.S Q/0s1 a A,)
Use of Property (Existing and Proposed):
Street Address or Boundary Description:
Legal Description: (The legal Description must be correct or the application cannot
be processed.) Attach if lengthy.
Check Applicable Items:
❑ Administrative Plat ❑ P-C Site Plan
❑ Annexation ❑ P-I Site Plan
❑ Appeal of a Decision ❑ Planned Unit Development(PUD)
❑ Certificate of Appropriateness ❑ P-C,P-I, or PUD Amendment
❑,� Conceptual Development Plan (CDP) ❑ Rezoning _
Final Plat ❑ Site Plan Review(A-1,R1-10,R1-6,
❑ LUPP Change R-2,R2-7,R-3,R-4,H-M, G-C, C-C,
G-1) _
I(We)certify that I(we) am(are) familiar with applicable state and local codes and ordinances,
the procedural requirements ofNtheCioof Am s and have submitted all the equired information.
ESSEX S•X.-F19R7�/EkSC2avGLC
Owner's Signature: Date: 2 9
Preparer's Signature: Date:
r -
Parcel B of the East 26 rods of the SW 114 of the NE 114 of Section 27,Township 84
North, Range 24 West of the 5th PM, Iowa, and part of Lot 15 in Hunter's
Subdivision, all in the City of Ames, Iowa, as shown in the Plat of Survey,
recorded March 9, 1994 in Book 12, Page 29 of the Story County Records.