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Land Use Application <br />Plat- Sketch Plan <br />n Plat- Preliminary Plat <br />n Plat - Final Plat <br />n Administrative Plat <br />n Site Plan Review <br />n Easement/ROW Vacation <br />Conditional Use Permit <br />Interim Use Permit <br />n Comprehensive Plan Amendment <br />Zoning Amendment <br />Home Occupation Permit <br />X Variance <br />1 Dwelling Moving Permit <br />Environmental Permit <br />Registered Land Survey <br />n Non -Traditional Animal License <br />n Beekeeping License <br />1 ] Private Kennel License <br />Applicant Contact Information <br />Please note: All official communication will be routed through this contact. <br />Name: <br />k, mTN 6eorte .CxL <br />-v <br />Street Address: <br />g3 &� /ZiQ /Sea- ` d IV) t&), 3 36 <br />City, State, ZIP: <br />! �/;(/1 /W ,�/ .S-36 - <br />/1/01 <br />Home Phone: <br />Y � / 23 6 <br />Work Phone: <br />7 3 <br />95 3 <br />3 4/7 <br />Email: <br />Fax Number: <br />7/3 <br />p5-� <br />71 -7 <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 />Al%%ee /��4 /4//v6" <br />/)/ bbk/Sel)/ A4 4/ <br />PIN <br />ES:— 30 -, 6 -3a <br />06- <br />Legal Description <br />S h 0 4 hio G Gn <br />�'I <br />Zoning District <br />Contact the Planning Division at 763-433-9824 or planninq(aicityoframsey.com to request a Zoning Verification <br />