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199 <br /> <br />PERMIT FEE <br /> <br />DATE FEE PAID <br /> <br /> CITY OF RA~SEY <br /> <br />ZONIN(.; USE PEP~IT APPLICATION <br /> <br />/__/ Board of Adjustment <br /> <br />7~ Conditional Use <br /> <br />/ / Planned Unit Development <br /> <br />Name of Applicant: <br /> <br />/ / Rezoning <br /> <br />/___/ Mining <br /> <br />/ / Grading or Filling <br /> <br />/___/ Sign <br /> <br />/ / Other <br /> <br />Address: <br />City/State/Zip Code: ~.~/wj~<~_. <br /> <br />~gal Property Description: <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 />tha~a~.y changes from thes~Hans must be resubmitted. <br /> <br /> O~er or Re~re~entati~"k ~'te - ~~-~ministrator Date <br /> <br /> <br />