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Application for Consideration of Zoning Request <br /> CITY OF ~AMSEY ~ ~ <br /> <br />Application No. <br />Fee Paid $ ~), ~-6} <br /> <br /> Date Fil ed <br />Street Address of Property /~ f'~ ~)?~//~X~/~ <br /> / <br />Legal Description of Property ~--¢.~ [ '.~loc~ 2 , 'Tc~,-~lc <br />Owner's Name ' /~,~oS I~ .]<~/~s~o.~ Phone No. <br /> ~,, <br /> Address /5-3e S ~q~ ~e~;~ ~ t ~f~O <br /> <br />Applicant (if other than owner): <br /> <br /> Name <br /> <br />'Address <br /> <br />Phone No. <br /> <br />T. vpe of Request: ( <br /> <br /> ( <br /> <br />Description of Request <br /> <br />) Variance ( ) Special Use Permit ( ) <br /> <br />) Review of decision (zoning administrator) (~//) <br /> <br />Rezoning <br />Other <br /> <br />Reasons for Request (Ordinance No. /Section No. ) <br /> <br />Present Zoning Classification <br /> <br />Existing Use of the _Property. ~/4e,,~ l~,X <br /> <br />Has a request for rezoning, variance, or special use permit on the property been <br />previously sought? ~Jo If so, when? <br /> <br />Signature of Applicant ~<~'~..~..~ Date ,.!x~ ~?x <br /> ....... _/Z ....... ...... . ............. / <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 />