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PEREI7 FEE <br /> <br />DATL ,r=~L PA~D <br /> <br /> CITY Ot' R;~.:SEY <br /> <br />ZO~;ING US~ PEP3.:IT APPLICATION <br /> <br />/__/ Board of Adj~ctment <br /> <br />/__/ Conditional Use <br /> <br />/ / Planned Unit Development <br /> <br />Name of Applicant: <br /> <br />Address: <br /> <br />/__/ Rezoning <br /> <br />// Minin9 <br /> <br />/__/ Grading or Fillin9 <br /> <br />/___/ Other <br /> <br />City/State/Zip Code: ~ {:/~" <br />~gal Property Description: L C~ <br />Brief description of the request: <br /> <br />Date reviewed by Board of Adjustment/Plannin~ and Zoning: <br />Comments on Reviewal: <br /> <br />Approval/Disapproval: <br /> <br />Reason for Disapproval: <br /> <br />Date of Approval: <br /> <br /> I mnderstand the fee for a variance, conditional use E,errdt and rezoning if <br /> apgroved or denied, is a non-refundable fee. I also a.-sept the conditions of <br /> thi~ permit and all terms of the City ordinances which corem. I understand <br /> that ~n]' change~= from these plans must be resubv. Atted. <br />// i; '--- <br /> O~v, er or Representative Date Zoninc~ Ad~..~.-.istrator Date <br /> <br /> <br />