HomeMy WebLinkAboutA003 - Development Application Form dated September 5, 1997 ?:{{p
»::;:
.fin ... .................. .........v:::x:..v,.....::•... .. ..:..:m n. ... :s.
•,.vn:v::
...:.:..................... ...:,.,.. ,vY....n�":..�:::.::.:n::•:•i.t:r :i\.x:..n..v:,n.::..»:.. :li;i<::;t.
k:
.r'<rN
n
r '
tr
Property Owner to n z I kQ_f- �-
Address I C�)-15 co A rn(P-, ) ��
(Street) (City) (State) (Zipcode)
Telephone 5)--75- C-)
(Business) \ , (Home)
Contact Person S+Q--VP_ YP2a(`(4
Address 3—'---)0 �C�L}--► h ��-�_ S f710 e 1� IOC
(Street) (City) (State) (Zipcode)
Telephone � '7 _ C.:fk,-
-� usiness) (Home)
`76 ljn
(Fax) (Mobile/Cellular)
Project Name and Project Description:
�-I'� I Is►�� �(,�: c�l.i �I��I C� !n 'TC���� � -mil �-E-(c'� �
19
Street Address or Boundary Description:
hc- 1 �v vpfmc ( E n •mil CL OJ one--n —.-, 'Roulevarzt
Legal Description: (The legal Description must be correct or the application cannot
be processed.) Attach if le�ngthy. ,, i} f{
+ nip l l,(+I )+ " xi, �YJ-.�i( I`s(l1 P r�
I C. h /
ram&'k A 10\l\I�V-)
Check Applicable Items:
:.:::. e�l:.nf.a:..l�ec�s>��a ..:.:: :<�<:' <:: :> ':<�> >>: .......:..........:.................... ............. :::...:...:..::...
i:.::.:f�:.i:.::.�ertiftc��e:c�l':� .: .�� rl�tett�s�.::::::::.::::.:::::..:.....:.:...:......:................................................:.... .:..:...........:.....................::::::::::::.:::::n.::::::::
I(We)certify that I(we) am(are),Iamiliar with applicable state and local codes and ordinances,
the procedural requirements of City of Ames and have submitted all the required information.
Owner's Signature: Date:
Preparer's Signature: Date: