APPLICATION FOR CONCEPT
DMSIONIII
TANEY COUNTY PLANNING COMMISSION
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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: $2S.00.
SIGNAT
DATE: ,,~:;;::C?;"~'--"'=====""""""""-'~=--::::::----
(must b·e-ownf!rio'iffrecord)
MAILING
ADDRESS: loa Br4l!stl!l Crrrk Blvd, flo/It'sl&) /'lo. t5k72- ~71(.
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TELEPHONE
NUMBER: '117- 527-59t{?
NAME OF REPRESENTATIVE: Wc!-& 5",rveY/nfJ
7 v :roc,
MAILING ADDRESS (reD.): rOO sib-Ie tlU/;O.t/8 ~",; lJiW L{ 5u..tft D iiransotl, fYlo, t, '.i"/~
TELEPHONE NUMBER (rep.): J.f17- HI/-S'&' ~O
ACCESS TO PROPERTY (street # and name): 8t41\SO (\ Creek. j)/..U D,
# of Acres (or sq. ft. of lot size): 7l? /2.
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PARCEL # L7-'?, o-n--tJOo-OO{)-OO(, ooD 17- 5·tJ-;L2-""O-O~~-(9ol/,c/)O
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SECTION: 27 t ?- 2- TOWNSHIP: )., l - RANGE: 2. 7
NAME OF SUBDIVISION (if apPlicable):
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Lot # (if applicable) BLOCK #
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WITHIN 600' FROM THIS PROPERTY IS: (check all land uses that apply)
COMMERCIAL / ' MULTI-FAMILY RESIDENTIAL ; / '
AGRICULTURAL i/ MULTI-USE MUNICIPALITY
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TYPE OF SEWAGE DISPOSAL SYSTEM:
CENTRAL ~ATMENT P~ INDIVIDUAL
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PUBLIC WATER SUPPLY SYSTEM:
CENTRAL C@MUNITY W~ PRIVATE WELL
DOES THE PROPERTY LIE IN THE 100 YEAR FLOOD PLAIN?(Circie one)
YES_NO V
THIS REOUEST FALLS INTO ONE OR MORE OF THE FOLLOWING CATEGORIES:
RESIDENTIAL MULTI-FAMILY COMMERCIAL INDUSTRIAL
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SPECIAL-USE OTHER
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a/50 go .4men1f.;; ar-U fo 5erlle f)CO/e<+, Ill! t:JF
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Fairways at Branson Creek
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