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n Plat —Sketch Plan <br />n Administrative Plat <br />n Conditional Use Permit <br />EX 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 />❑ Plat — Preliminary Plat <br />- Site Plan Review <br />n Interim Use Permit <br />n Home Occupation Permit <br />n Environmental Permit <br />n Beekeeping License <br />Land Use Application <br />❑ Plat — Final Plat <br />n Easement/ROW Vacation <br />Comprehensive Plan Amendment <br />n Variance <br />✓ 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 />5.6)7 a„, A 46 //77..0 k- <br />i e 5, <br />) /0 // <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 />�i 36_3173�� <br />-7e_5 :3 34'7 <br />-713 a95 y9 <br />&e-kx A/77/ <br />CJ f3oy ,3L <br />/'/)/ic‘72/0 /J/ & C,5 <br />lz ��'�� J7 ( 7 Business Fax: d` l 4/ 4/e <br />Work Phone: <br />Fax Number: <br />Subject Property Information <br />(Location of Application) <br />:3 - 3d - BLS 3 0 Uo6 g //e'a L.-- <br />,cG9C' Ail- /7`Ch ec� <br />Zoning District <br />Contact the Planning Division at 763-433-9824 or planninaPcitvoframsev.com to request a Zoning Verification <br />