1 - Village of Palatine

SPECIAL USE & VARIATION APPLICATION
Department of Planning & Zoni ng
200 E. Wood Street· Palatine,lL . 60067-5339
Telephone: (847) 359-9047 • Fax (847) 963-6247
Petitioner(s)
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Subject Property Addres.s
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Authorized Agent (if applicable)
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Business Name (if applicable)
Business Name (if applicable)
o Special Use Amendment
Existing Zoning District
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Generally describe your request:
0 Variation
PETITIONER'S EXHIBIT
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