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CONDITIONAL USE PERMIT APPLICATION <br /> Applicant: USCOC Nebraska/Kansas LLC Evaluation Date:2/4/16 <br /> Phone Number: 402-515-4698 Address: 10343 Military Ave.,Omaha, NE 68134 <br /> Requested Conditional Use: Extension to renew CUP#04-0036 <br /> Property Location: 789 Schultz Road,Doniphan, NE (US Cellular site 855389 180) <br /> (Physical Address or Roads property located on) <br /> SE 114,Section Twenty-two(22),Township Ten(10),North Range Nine(9)West otthe 6th PM,Hal County,NE <br /> (Legal Description) <br /> Route of travel: <br /> Hours of Operation: <br /> Specific Purpose of Conditional Use: <br /> Cellular Communications <br /> References: <br /> Contact Information: <br /> * If owners change hands you are required to notify this office of new contact information. <br /> All Hall County Conditional Use Permits are currently restricted to a term of five(5)years. <br /> Any other information,concerns or requests that would be helpful in approving the conditional use Permit. <br /> Requesting an extension of(10)ten years. <br /> Owner was prevoiusly WWC License LLC is now USCOC Nebraska/Kansas LLC <br /> Signature of Applicant or Agent for Applicant <br /> 11:_:;) <br /> i - <br /> T I- <br /> i <br />