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Application for Consideration of Zoning Request <br /> <br /> C T¥ OF AMSEY <br /> <br />Application No. <br />Fee Paid $ ~-~) <br />Date Filed <br /> <br />Phone No. <br /> <br />Street Address of Property <br /> <br />Legal Description of Property <br />Owner's Name~~ <br /> Address <br /> <br />Applicant (if other than owner): <br /> <br />Tvpe of Request: <br /> <br />Description of Request." <br /> <br />Phone No. '/7/,~"~-~,~- (~"~ <br /> <br />Variance ('~)==Special Use Permit ( -) Rezoning <br /> <br />Review of decision (zoning administrator) ( ) Other <br /> <br />Reasons for Request (Ordinance No. /Section No. ) ' <br /> _ ~ <br /> <br />Present Zoning Classification ~'_~1, ,',,/ <br /> <br />Existing Use of the Property r...~,~ <br /> <br />Has a request for rezonin§, variance, or special use permit on the property been <br />previously sought? '--~F~ If so, when? <br /> <br />Signature of Applicant <br /> <br />For Office Use Only <br /> <br />Approved Denied <br /> <br />by the Board of Appeals and Adjustments on <br /> <br />,19 <br /> <br />Approved Denied by the Planning Commission on , 19 <br /> <br />Continued on Page 2 <br /> <br /> <br />