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D 03 <br /> 7n) Land Use Application <br /> ❑ Plat—Sketch Plan t—Preliminary Plat ❑ Plat—Final Plat <br /> F-1 Administrative Plat ❑ Site Plan Review ❑ Easement/ROW Vacation <br /> ❑ Conditional Use Permit ❑ interim Use Permit ❑ Comprehensive Plan Amendment <br /> oning Amendment E] Home Occupation Permit F]Variance <br /> F] Dwelling Moving Permit ❑ Environmental Permit ❑ Registered Land Survey <br /> ❑ Non-Traditional Animal License F-1 Beekeeping License F-1 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 /> t"� t <br /> J <br /> City, State,ZIP: <br /> Home Phone: Work Phone: 6'1,-' <br /> Email: Fax Number: <br /> Name of Business (if <br /> applicable): <br /> Business Address (if applicable) <br /> Business City, State,ZIP <br /> Business Phone: Business Fax: <br /> is <br /> Subject Property Information <br /> (Location of Application) <br /> Address1,72- A/ <br /> PIN Q 2-— r <br /> Legal Description <br /> Zoning District <br /> Contact the Planning Division at 763-433-9824 or planninq@citvoframsey.com to request a Zoning Verification <br />