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I <br />I <br /> <br /> I <br />I <br /> I <br /> <br />I <br />I <br /> <br /> CITY O}' RA~:SEY <br /> <br />ZONING US}: PEPNIT APPLICATION <br /> <br />/__/ Board of Adjustment <br /> <br />~/ Conditional Use <br /> <br />/ / Planned Unit Development <br /> <br />~__/ Rezoning <br /> <br />~_/ Mining <br /> <br />/___/ Grading or Filling <br /> <br />L~ s~ gn <br /> <br />/__/ Other <br /> <br />Name of Applicant:. <br /> <br />City/State/Zip Code <br /> <br />Legal Property Description: <br /> <br />Brief description of the request: <br /> <br /> i <br />'1 <br /> I <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 <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 acce~t 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 <br /> <br />Zoning Administrator <br /> <br />Date <br /> <br /> <br />