Fillable TOWN OF MILLS PETITION FOR ZONE CHANGE VARIANCE (Town of Mills)

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TOWN OF MILLS PETITION FOR ZONE CHANGE VARIANCE (Town of Mills)

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Town of Mills Rev. 02-09
TOWN OF MILLS
PETITION FOR ZONE CHANGE
VARIANCE
SPECIAL REVIEW PERMIT
Date: Page of
Subject property owner information (Please Print):
Name: Mailing Address: Phone:
Subject property legal description:
Total number of owners within 300 feet of the subject property: ___________
Does the total number of signatures represent 50% of the Owners of Record? (as shown in the County records): Y N
We, the undersigned owners of the property located within a 300 foot radius of the subject property, favor granting the requested (circle one)
variance - zone change - special review permit by the Town of Mills.
OWNER OF RECORD
(PRINTED NAME)
OWNER OF RECORD
(SIGNATURE)
ADDRESS
LOT
BLOCK
CFD (if recorded)
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Town of Mills Rev. 02-09
We, the undersigned owners of the property located within a 300 foot radius of the subject property, favor granting the requested (circle one)
variance - zone change - special review permit by the Town of Mills.
OWNER OF RECORD
(PRINTED NAME)
OWNER OF RECORD
(SIGNATURE)
ADDRESS
LOT
BLOCK
CFD (if recorded)
11
12
13
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TOWN OF MILLS PETITION FOR ZONE CHANGE VARIANCE (Town of Mills)

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Completed 31 January 2021

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