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❑ Plat — Sketch Plan <br />❑ Administrative Plat <br />n Conditional Use Permit <br />n Zoning Amendment <br />n Dwelling Moving Permit <br />n Non -Traditional Animal License <br />Name: <br />Street Address: <br />City, State, ZIP: <br />Home Phone: <br />Email: <br />�ECEto,O� <br />JAN 3 0 2017 <br />BY <br />n Plat — Preliminary Plat <br />n Site Plan Review <br />n Interim Use Permit <br />n Home Occupation Permit <br />n Environmental Permit <br />n Beekeeping License <br />Land Use Annlication <br />❑� Plat — Final Plat <br />n Easement/ROW Vacation <br />n Comprehensive Plan Amendment <br />n Variance <br />n Registered Land Survey <br />n Private Kennel License <br />Applicant Contact Information <br />Please note: All official communication will be routed through this contact. <br />Name of Business (if <br />applicable): <br />Business Address (if applicable) <br />Business City, State, ZIP <br />Business Phone: <br />Address <br />PIN <br />Legal Description <br />Zoning District <br />8g.-°cia ivi & i. c _ (5j <br />itrt/1 Se : !rlk) h <br />Work Phone: 66QZT I )1co— <br />Fax Number: <br />FP,I's Cti'Y <br />Business Fax: <br />Subject Property Information <br />(Location of Application) <br />09-32-25-44-0017, 09-32-25-41-0027 <br />See attached plans <br />RI -Residential (MUSA) and R1 Residential (Rural Developing) <br />Contact the Planning Division at 763-433-9824 or plannina@citvoframsev.com to request a Zoning Verification <br />