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CITY OF PJL~iSEY <br /> <br />ZONING USE PE.~.MiT APPLICATION <br /> <br />/'___/ Board of Adjustmen~ <br /> <br />/___/ Rezoning <br /> <br />/__/ sign <br /> <br />Conditional Use <br /> <br />P!a~nned Unit Development <br /> <br />/ / Grading ~. z~!!_ng <br /> <br /> ity/State/Zip Code: <br /> · <br /> <br /> Legal Property Description <br />~Brief description of the request: ~?~ ~ <br /> 73 <br /> <br />57.5'"3 o % <br /> <br />Date rev~e',:ed by Board of Adjustment/Planning and Zoning: <br /> <br />Comments on Reviewal: <br /> <br />Approval/Disapproval: <br /> <br />Reason for Disapproval: <br /> <br />Date of Approval: <br /> <br />I ~nderstand the fee for a variance, conditional use permit and rezoning if <br />approved or denied, is a non-ref'~dab!e fee. ! also accept the conditions of <br />this permit and all ~erms of the City ordinances which govern. I understand <br />that any changes from~hese plans must be resubmitted. <br /> <br /> ~'ner or Rep~rn- .t'ative Date Zoning A~,ministrator Date <br /> <br /> <br />