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City of Washington
Department of Planning and Development Application for a Special Use Permit Page 1: Applicant Information |
| Date: |
| Fee is $125.00 Date paid: |
| Applicant Name: |
| Address: |
| Phone Number: |
| Location of Proposed Special Use: |
| Purpose of Special Use: |
| Reason for Special Use: |
| Property Zoned: ( ) City ( ) ETJ |
| Authority to grant the requested special use is contained in the Zoning Ordinance, Section: |
| Parcel Tax Card # |
| To be completed by Applicant and returned no later than the fifteenth (15th) day of the month before the month in which the request will be heard by the Board of Adjustment. |