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194 <br /> <br />CITY OF F~MSEY <br />ZONINfi~ US¥, PEI~M]T ~u~PLIC~T~ON (~(7~ <br /> <br />/ / Board of Adjustment <br /> <br />/__/ Conditional Use <br /> <br />/ / Planned Unit Development <br /> <br />~Name of Applicant: <br /> <br />/~ Rezoning <br />/__/ Mining <br /> <br />/__/ Grading or Filling <br /> <br />/__/ Si gn <br /> <br />/__/ Othe~ <br /> <br />~gal Property Uescription:~[ <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 per..At and rezoning if <br />approved or denied, is a non-refundable fee. I also acceEt the conditions of <br />this per~,it and all terms of the City ordinances which govern. I understand <br />that any changes from these plans must be resub~htted. <br /> <br />~r kepre~ enta~v~ Date <br /> <br />Zonin9 A~minis trator Date <br /> <br /> <br />