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APPLICATION FORM <br />REZONING REQUEST (RZON) <br />INDIAN RIVER COUNTY <br />Each application must be complete when submitted and must include all required attachments. An <br />incomplete application will not be processed and will be returned to the applicant. <br />Assigned Project Number: RZON - <br />Current Owner <br />Applicant (Contract <br />Purchaser <br />Agent <br />Name: <br />Island Manor Development, LLC. <br />Jan Jalmby <br />Complete Mailing <br />Address: <br />5550 Beach Road, Unit 218 Indian River Shores, FL 32963 <br />90020th Place, Vero Beach FL 32960 <br />Phone #: (including <br />area code <br />772-562-0866 <br />Fax #: (including area <br />code) <br />E -Mail: <br />jan@heimethouseconstruction.com <br />Contact Person: lAianWilkinson <br />lian Jehnby <br />Signature of Owner or A ent: <br />Property Information <br />Site Address: <br />1350 Island Club Manor <br />Site Tax Parcel I.D. #s: <br />Subdivision Name, Unit Number, Block and Lot Number (if applicable) <br />Existing Zoning District: A-1 <br />Existing Land Use Designation: L-2 <br />Requested Zoning District: RS -3 <br />Total(gross) Acreage of Parcel: 19.35 <br />Acrea a net to be Rezoned: 19.35 <br />Existing Use on site: Vacant (Undeveloped) <br />Proposed use on site: Single-family Residential <br />THE APPLICANT MUST ATTEND A PRE -APPLICATION CONFERENCE WITH LONG-RANGE <br />PLANNING SECTION STAFF PRIOR TO APPLYING IN ORDER TO RESOLVE OR AVOID <br />PROBLEMS CONNECTED WITH THE REZONING REQUEST. <br />162 1 <br />