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Land Use Application <br />n Plat — Sketch Plan <br />n flat — Preliminary Plat <br />Plat — Final Plat <br />n Administrative Plat <br />n Site Plan Review <br />n Easement/ROW Vacation <br />n Conditional Use Permit <br />❑ Interim Use Permit <br />n Comprehensive Plan Amendment <br />Loning Amendment <br />n Home Occupation Permit <br />n Variance <br />❑ Dwelling Moving Permit <br />n Environmental Permit <br />n Registered Land Survey <br />❑ Non -Traditional Animal License <br />n Beekeeping License <br />Private Kennel License <br />Applicant Contact Information <br />Please note: All official communication will be routed through this contact. <br />Name: <br />Street Address: <br />City, State, ZIP: <br />Home Phone: <br />it /fir — <br />Work Phone: <br />r <br />Email: <br />Fax Number: <br />Name of Business (if <br />applicable): <br />Business Address (if applicable) <br />Business City, State, ZIP <br />Business Phone: <br />Business Fax: <br />Subject Property Information <br />(Location of Application) <br />Address <br />/ 72- Pt. P /—‘2,4 y__ V 0 <br />ka--iii—C e...../ <br />/.14 <br />PIN <br />O2-" 3 2 —Z6 411 —000 q <br />Legal Description <br />Zoning District <br />Contact the Planning Division at 763-433-9824 or planninq(Jcitvoframsev.com to request a Zoning Verification <br />