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CiTY OF Pe~MSEY <br /> <br />ZONING USE PERMIT APPLICATION <br /> <br />Board of Adjustment <br />/ / Conditional Use <br /> <br />/ / P!~uned Unit Development <br /> <br />/__/ Rezonin9 <br /> <br />/__/ Mining <br /> <br />/___/ Grading or Filling <br /> <br />/___/ Sign <br /> <br />/__/ Other <br /> <br /> -' <br /> <br />City/State/Zip Code: ._~ <br /> <br />Legal Property Description: <br /> <br />Brief description of the request; <br /> <br />Date reviewed by Board of Adjustment/Planning and Zoning: <br />Comments on Reviewal: <br /> <br />Approval/Disapproval: <br /> <br />Reason for Disapproval: <br /> <br />Date of ~oproval: <br /> <br />I understand the fee for a variance, conditional use permit and rezoning if <br />approved or denied, is a non-refundable fee. I also accept the conditions of <br />this permit and all terms of the City ordinances which govern. I understand <br />that any changes from these plans must be resubmitted. <br /> <br /> Owner or ~epresen~-ative Date Zoning Administrator Date <br /> <br /> <br />