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CITY OF RA>~SEY <br /> <br />ZONING USE PERMIT APPLICATION <br /> <br />Boazd of Adjustment <br />/__/ Conditional Use <br /> <br />/__/ Rezoning /__/ Sign <br />/__/ Mining /__/ Other <br /> <br />/ / Planned Unit Development <br /> <br />/ / Grading or Filling <br /> <br />Name of Applicant: <br /> <br />City/State/Zip Code: PO.~I~,"V <br /> <br />~gal 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 />1%understand the fee for a variance, conditional use permafit 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 Date Zoning Administrator Date <br /> <br /> <br />