P&Z Application for Concept for Parkside Storage
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P&Z Application for Concept for Parkside Storage
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TANEY COUNTY PLAt'\1NING COMMISSION
r. O. Box 383 • Forsyth, Missouri 65653
Pllo"c: 417546-7225/7226 • Fax: 417 546-6861
OJln it: [fn~q.l@(()- taney. 1'1'/0. UJ • wfbJi tt:: J/llVlJ'. taHcycounty.org
APPLICATION FOR CONCEPT
DIVISION III
TANEY COUNTY PLANNING COMMISSION
The Concept Application is for the use of the Planning Staff and Commission to
enable us to know the nature of the planned project. The official Division III
Application for permit will be filed along with everything needed to complete
your file, as listed on the Division III Procedure Checklist. Division III
Applications: $100.00, Special Use Applications: $25.00.
NAME OF PROJECT: BURN 5 $/0 R IJ G E
NAME OF APPUCANTJ(;DA N
(Must be owner. ofrecord)!
i MIfRV £, BI/R !Is
SIGNATURE: - -
(Must owner 0 record)
ATE: r!J
j
!/fJ/48
MAILING ADDRESS: 150 Svnkei1 J;Y'£5t, :<-110/; nrsljth 110
, t:$6b3
TELEPHONE NUMBER: _4..L-L1----'-7_----'.§::::....·-'4----=--{:;_-_ff_'_r2_3_tl_· _
Representative Information
NAME OF REPRESENTATIVE: _
MAILING ADDRESS (rep.): _
TELEPHONE NUMBER (rep.): _
Revised 12/19/03
Property Information
ACCESS TO PROPERTY (street # and name):
Fo t1i7L t h 110 b!:J~6 3
_ I '7
Number of Acres (or sq. ft. of lot size): _-::_--,~:<........!._~~r_e=---'S=---_---,--::=-
I !3g'/-dC{
PARCEL #: +- Lf- ;)V --1-3 - c2. 0
(Parcel # MUST be on permit. Example: 00-0.0-OO-OOO-OOO-OOO.000. This number is on top left hand come<'of
property tax statement. If you have not paid taxes on property, must have name of previous owner of property.)
SECTION: 20 TOWNSHIP: ;),1 N:Jtth RANGE::2o hle5t
NAME OF SUBDIVISION (if applicable): _
Lot # (if applicable) BLOCK # _
WITHIN 600' FROM THIS PROPERTY IS:
(Check all land uses that apply)
ro Commercial 0 Multi-Family Ii Residential 0 Agricultural
o Multi-Use o Municipality
SEWAGE DISPOSAL SYSTEM:
o Treatment Plant J8'Individual
o Central Sewer: District # _
WATER SUPPLY SYSTEM:
o Community Well ,.a Private Well
o Central: District # _
DOES THE PROPERTY LIE IN THE 100-YEAR FLOOD PLAIN? 0 Yes ~No
THIS REQUEST FALLS INTO ONE OR MORE OF THE FOLLOWING
CATEGORIES:
o Residential o Multi-Family ft Commercial 0 Industrial
o Special Use o Other - Explain: _
Revised 12/19/03
Anyproposedproject that does not have a posted 911 address must be identified
with a surVey flag at the proposed access to the property. Failure to post the
survey flag will result in a delay ofthe Public Hearing. Please give a description of
your proposedproject including all uses: (IMPORTANT: Make this description as
complete as possible as your public notice will be based on the information
provided here.)
/3~ 3 q JIw-r (PtJ
Revised 12/19/03
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S'ISOA WAreS (0) ;,'fSEA CRIf-TES(3) £
81 J - gIl-'- - - - - - - !
5' / 1 (PRoPOSED) -;/1 (PROPOSEC» J
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Burns Storage
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P&Z Application for Concept for Parkside Storage
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