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i <br />I <br /> <br /> CI~ OF ~SEY <br /> <br /> ZONING USE PE~IT ~PLICATION <br /> <br />/ / Board of Adj~tment / /Rezoning /~ Sign <br />/~ Conditional Use ~ Mining ~~er~--. <br />/ / Pl~ned Unit ~velopment ~ Grading or Filling ~ ~ ~~/~/~/~ <br /> <br />N~e of Applic~t: ~~/~ ~ ~(~~/~ ~/~~ <br /> <br />~gal Property Description: <br /> <br />Brief description of the requeSt: <br /> <br />Date reviewed by Board of Adjustment/Planning and Zoning: <br /> <br />Comments on Reviewal: <br /> <br />i <br />I <br /> <br />Approval/Disapproval: <br /> <br />Reason for Disapproval: <br /> <br />Date of Approval: <br /> <br /> I understand the fee for a variance, conditional use permit and rezoning if <br />I. 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 Representative Date <br /> <br />Zoning Administrator <br /> <br />Date <br /> <br /> <br />