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i PERMIT FEE <br /> DATE FEE PAID <br /> <br /> CITY OF RAMSEY <br /> <br /> z0,~0 USE PE~T <br /> <br /> rd of Adj~tment ~ Rezoning /~ Sign <br />~ Conditional Use ~ Mining /7 ~er <br />/~ Planed Unit ~velopment ~ Grading or Filling <br /> <br /> Address, ~ ~3 ~ I ~r ?FX' <br /> <br /> ~gal Property Description, /0~ <br /> <br /> Brief description of the request: <br /> <br /> Date reviewed by ~ard of Adj~tment/Pl~ning ~d. Zoning: <br /> <br /> Co~ents on Reviewal: <br /> <br />I <br />! <br /> <br />Approval/Disapproval: <br /> <br />Reason for Disapproval: <br /> <br />Date of Approval: <br /> <br />I <br /> <br />I <br />I <br />I <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 Representative Date Zoning Administrator Date <br /> <br /> <br />