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CITY OF R~N'~SEY <br /> <br />ZOI'ilNG USE PERMIT APPLICATION <br /> <br />/~ Board of Adjustment'{i} ~'~[E~' /__~ Rezoning <br /> <br />/___/ Conditional Use /__/ Mining <br />/ / Planned Unit Development /__/ Grading or Filling <br /> <br />/__/ si~n <br /> <br />/ / Other <br /> <br /> Name of Applicant: Clarence Oe~s~ ( N0rthem Oxygen) ~t[ 1~/. 489-1375 <br /> <br />~ City/State/Zip Code: ~ka, Mi~s0~ 55303 <br /> <br /> Legal Property Description: tot 1 81k 2 Rivers[~ ~ Plat) Riversi~ <br /> SEC/LOT' ~, ~/BLK: ~, RG: 25 ~st ( ~j ~ ease as sh <br /> Brief description of the request: 5 f~t varia~e as sh~ ~ ~ atta~ draw~. <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 ~Dproval: <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 Repr~tative Date Zoning Administrator Date <br /> <br /> <br />