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Minutes-03/07/2012

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Tiffin t= CROSSROADS vl THE HEARTLAND. APPLICATION FOR RE- ZONING 201 MAIN ST. P. O. BOX 259 TIFFIN, IA 52340 TELEPHONE: 319. 545. 2572 FAX: 319. 545. 4147 RETURN COMPLETED FORM TO: CITY CLERK,,CITY OF TIFFIN, IOWA APPLICANT INFORMATION I Applicant Name: City of Tiffin ° 2/ 23/ 2012 Date: Address: PO Box 259 Tiffin, IA 52340 Street or P. O. Box# 1 City State Zip ' Phone 319 ) 545- 2572 Primary: ( Phone Secondary: FAX: E- mail: Contact Person (if other than Applicant) Name: Steve Berner w, Address: 140 W. 3rd St. Tiffin, IA 52340 Street or P. O. Box# City State Zip Phone Primary: ( 31 9 ) 545- 2226 Phone Secondary: ( 319) 430- 8719 FAX: ( 319 ) 545- 1507 E- mail:' steven. lee. berner @gmail. com Property Owner (if other than Applicant) Name: Address: Street or P. O. Box# City State Zip Phone, Primary: Phone Secondary: FAX: E- mail:, During the review process the Planning & Zoning Commission or City Staff may visit the property. If the property owner does not wish to allow Commission or Staff to enter onto property, please sign here: Property Information Address (if no address- list name of closest street) Intersection of Oakdale Blvd and Roberts Ferry Rd. I ssessor' s Parcel# with Legal Description: Lot 48 and Outlot C Timber Ridge Subdivision Phase 2, Tiffin, Iowa, Johnson County Iowa Current Zoning Classification: R2 Requested Classification: PAD Zoning

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