T.~NEY COUNTY PlANNING COMMJSSlOK
~. 0. Box ;,iSS • r(lr~1'h~ Miootlri 656~3
J'IJlm~; 417 346~722S /7220 • F');1,'; 417 54n·(){MT
~mlt;"· /l1"~qtfk,,. t/l,l'''':v".n1f1. ur • It'&lJ.tiu: Wl1'1t .tarJ;:~(ntmry."r.n
APPLICATION FOR CONCEPT
DIVISION III
t~ iQQ.M~mQN
The Concept Application is for the use of the Planning Staff and Commission to
enable us to know the nature of ttle planned projett. The offidal Division III
Appllcatlon for permit will be flied along with everything needed to complete
)1001" filet as listed on the DlVislon ill Procedure Checklist. Division III
Applications: $100.00, Special Use Applications: $25.00.
NAME OF PROJeCT: ;DebbIe., Do ts Ho..ic o-r-yJ &4.'" jq,)"""Q/\""",--_
NAME! OF AP~IJ:CANT: _P m.tW CDe.hb,·., J f'1iJ..kc. _
(NIISt be owner of recortI)
5IGNATup.f:G.l.J.dc" ~ DATf:J.0~40tJ'f
(MUst: bt! OWl18/' of mcord)
MAILING ADDRESS: ,2 OS- ';to Y h '!J e... Rou..J----,nr-c:u-t Son J }//O&:,s-ro 1(,
TeLEPHONE NUMBER: -!117- 23 q -:J..u.IQ""-9..L...-...._~-'--_.__
Representative Information
NAME OP REPRESENTATIVE: _~~,.....
;11..lo'U'1,.1,;1{?)""'r- _
MAILING ADDRESS (rep.): _.Ld"",(L/1'f"VL
TELEPHONE NUMBER (rep.): .-!i!1.=~L~3::..9_---:..7.LfO_? .__
10 39';1d ~S3G1N~~ ~3lN3~NMOl 16£8G££L1P1 60:£1 800G/0G/11
Property Information
ACCESS TO PROPERTY (street # and name): 20 S- Fe> Xrt ~e Rod
13 fla..n ;50 ,,-, ;t10 )
&;. S Co ( "
Number of Acres (or sq. It. of lot size): _
PARCEl, #:__0 g -7- 0 - 2 (, -0 0'-1 - 0 I () -0 13 .Oq? .
(Pg ltlClln . . . . . . . - . _ ...... ~ DlO a, _ _ -.r
ftur ' $ ,*--. n,.. __ not.......... ,...p ty, ., ClfprafLlrty.)
semON: .1. & TOWNSHIP: 23 2...../__
RANGE: --<0:
NAME OF SUBDIVISION (if applicable): /he ~ IroJ., q-f 13 I'A nS0""'
lot # (ffappficable) I~ BLOCK # _~!V~!i-:8.L-. _
wrTHIN 600' FROM THIS PROPERTY IS:
(Check all land uses that apply)
o Commercial 0 Multi-Family ~identlal 0 Agricultural
o Multi-Use 0 Municipality
SEWAGE DISPOSAL SYSTEM:
o Treatment Plant J Individual
'l3"'C<ral Sewer: District # ~ Lo -0P
WATER SUPPLY SYSTEM:
o Community Well LJ Private Well
~ntral: District # llJ~, R~ (p -Op
DOES THE PROPERlY UE IN THE lOO-YEAR FLOOD PLAIN? 0 Yes ~
~l
C Resl$lentlal o Multi-Family 0 Commerdal 0 Industrial
~pecial Use o Other - Explain: _
16E86E£L1P1 60:£1 8006/06/11
~S3alNO~j ~31N30NMOl
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~S3G1N~~ ~lN38NMOl
1&E8lEEL1P1 &0:E1 800l/0l/11
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J/ EG:ll 800G/PG/ll
Debbie Do's Hair and Nail Salon
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