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INDIAN RIVER COUNTY- <br />PLANNED DEVELOPMENT APPLICATION r; <br />Please indicate the type of application being submitted: <br />Conceptual PD Special Exception: <br />Concurrent Conceptual PD Speclil Exception & Preliminary PD: <br />Preliminary Planned -Development: <br />Final Planned Development:_ <br />Note: For a PD rezoning please use the appropriate rezoning <br />PROJECT NAME: KesovVe. CJ­Ve 'o 2:,;- <br />Plan Number: PD- (`I— �� �! ✓ <br />PROPERTY OWNER (PLEASE PRINT <br />Project M 9 8 O( 0 17 O ' 7 q 9/ <br />5 2 iL o V e t- u L_ l" C.. <br />NAME j <br />ADDRESS <br />W V"L�u,�0 V �O <br />CITY, STATE, Ztf <br />56..1 - SSI - ESSg <br />PHONE NUMBER <br />SCaGeo C Cal? aoni14C .!.OVA <br />EMAIL ADDRESS <br />44'e, �..O' [•. c vk <br />CONTACT PERSON <br />PROJECT ENGINEER: (PLEASE PRINT) <br />Kim"te-v - Yorp amd A M <br />NAME <br />`f MI5 Z�I � ` Sfi . S w; �v Z o v <br />ADDRESS <br />UR,�o C� zaC <br />'Ll r <br />CITY; STATE, ZIP <br />777- - 79 q - q ( 00 <br />PHONE NUMBER <br />t - : V lte ✓ Y►1 — I o <br />EM)AL ADDRESS <br />CONTACT PERSON ,- <br />APPLICANT (PLEASE`PRINT) <br />, kme 0.S 0 whZe <br />NAME <br />ADDRESS <br />CITY, STATE, ZIP <br />PHONE NUMBER <br />EMAIL ADDRESS <br />'CONTACT PERSON <br />A#W4T (PLEASE PRINT) —'�Jryeacr <br />NAME <br />I17/' ejag, 61v -4 -2-61 <br />ADDRESS <br />CITY, STATE, ZIP <br />PHONENUMBER <br />L6 (Pgo-5- e((sj,fe,- N <br />EMAIL ADDRESS <br />CONTACT' PERSON <br />SIGNATURE OF OWNER OR AGENT <br />FACommunityDevelopmenAUserACura pplicationAPDAPP.doc Revised 7anuary2011 <br />ATTACHMENT �. <br />Page I oN <br />119 <br />