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OFFICIAL USE ONLY: <br />n;,m F;lea: <br />Received Fay: <br />County offices are open from 8 a.m. to 5 p,m. Monday through Friday. <br />Ca6arrue County <br />Applicatioa for a <br />Reservation of Capacity Certificate <br />Subiect Property Information / <br />1. Streot Address ~f i ~"~ .1' ci7i ou ~ `~a <br />2. P1N(s) (10 digit) ~'~--~ -- ~7 Q; <br />3. Deod Reference Boo//k~~ __ ~ y L~ Page 93 <br />4. Juriadiotion l~[7/~~.l.D /(,_.C'i <br />5. Size (square feet or acres) ~ ~ • ~ GLC~GS <br />6. Current Zoning Designation C X0.1.. <br />7. Number of Units requested for reservation: 3 (~ o <br />8. Type of Units Single Family ~! Multi-family _Townhome -Other <br />(Please check all that apply and specify individual unit counts for each.) <br />9. Proposed Phasing Schedule: Calendar year aooq apt o units (lots); <br />Calendar year al ~ I a. o units (lots); <br />Calendar year -- _ units (lots); <br />Calendar year units (lots); <br />Calendar year units (lots). <br />(Please attach an additional sheet if'phasing schedule exceeds 5 calendar years.) <br />10. School Feeder Zones: Elementary School <br />Middle School <br />High School <br />i l .Please list any additional information regarding this application that may be pertinent to <br />the Reservation of Capacity Certificate ~ iew. (Ex. Senior Restricted) <br />~/ Q• <br />Page 2 of 3 <br />