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I <br />I <br /> <br />I <br /> <br />I <br />i <br /> <br />I <br />I <br />I <br /> <br />PEr~.x, FEE <br /> <br />DATE FEE PAID <br /> <br /> CITY OF PJ%MSEY <br /> <br />ZONING USE PERMIT APPLICATION <br /> <br />/___/ Board of Adjustment <br /> <br />/___/ Rezoning <br /> <br />/___/ Sign <br /> <br />/___/ Conditional Use <br /> <br />/ / Planned Unit Development <br /> <br />/___/ Mining <br /> <br />/__/ Grading or Filling <br /> <br />Other <br /> <br />Name of Applicant: /~.~_~ <br />Address: /~J'--? f~ ~ Y~.~ <br />City/State/Zip Code: ~4 ~ <br />~gal Property Description: S f <br /> <br />Brief description of the request: <br /> <br />I <br />I <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 Approval: <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 Represent~qive Date Zoning Administrator Date <br /> <br /> <br />