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I <br /> I <br /> I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> C~TY OF PJ~".SEY <br /> <br />ZONING USE PElF, IT APPLICATIOI; <br /> <br />~_/ Board of Adjustment <br /> <br />Rezoning <br /> <br />~_/ Sign <br /> <br />~_/ Conditional Use <br /> <br />~_./ Mining <br /> <br />L/ other <br /> <br />/ / Planned Unit Development <br /> <br />L/ Grading or Filling <br /> <br />Name of Applicant: <br /> <br />~~,. <br />City/State/Zip Code: <br /> <br />Legal Property Description: <br /> <br />Brief description of the request: <br /> fA', ,~?. ~. <br /> <br />Date reviewed by Board of Adjust~ent/Planning and Zoning: <br /> <br />Comments on R~viewal: <br /> <br />[ F' <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 zezoning 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 orclinanc~s which:govern. I understand <br />that~ c~an~es~f-De~Dthese plan~ must be resubmitted. <br /> <br /> Owner or Representative Date ~oning Administrator Date <br /> <br /> <br />