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/___/ Board of Adjustment <br /> <br />~ Conditional Use <br /> <br />/ / Planned Unit Development <br /> <br />/__/ Rezoning <br /> <br />/___/ Mining <br /> <br />/__/ Grading or Filling <br /> <br />/__/ Sign <br /> <br />/___/ Other <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 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 Representative <br /> <br />Date Zoning Administrator Date <br /> <br /> <br />