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Land Use Application <br />n Plat - Sketch Plan <br />n Plat - Preliminary Plat <br />Plat - Final Plat <br />❑ Administrative Plat <br />C Site Plan Review <br />❑ Easement/ROW Vacation <br />❑ Interim Use Permit <br />E Comprehensive Plan Amendment <br />Conditional Use Permit <br />❑ Zoning Amendment <br />❑ Home Occupation Permit <br />II Variance <br />E Dwelling Moving Permit <br />E Registered Land Survey <br />all Environmental Permit <br />❑ Beekeeping License <br />III Non -Traditional Animal License <br />Private Kennel License <br />Applicant Contact Information <br />Please note: All official communication will be routed through this contact. <br />Name: <br />❑ Can '1 I Pet ;.: i\ I.J rU k <br />Street Address: <br />50 ` 09 TI, C O lA f+ N E <br />City, State, ZIP: <br />13 I a .\-r,--� e., 1 ❑ ki / S L-I ` I l <br />Home Phone:C ACn 2 -,.� <br />i <br />c, 3 - ! 7S S_ 2�c1,2 <br />Work Phone: <br />C S. / _ a`/]2 5 C/ <br />Email: <br />P'" 1 D 1 9 cc S' �0'(3 1 <br />Fax Number: <br />c S r .... 2 -7) _51..,/c z <br />Name of Business (if <br />applicable): <br />icopi <br />D (-lA & ,SS i C .- \-Db1).OrA1t /-1`I-„ sc›J¢.5- <br />Business Address (if applicable) <br />33 C J 10j -k r S Li , FQr e.s`-)- Lo=142 , fv) N S So ZS <br />Business City, State, ZIP <br />F9 re51- L.<42_ nA V„/ S5- o -_--S <br />Business Phone: <br />C' 2 ` % S 0 _ 9 2:- <br />Business Fax: <br />(5 f 2 ? - 5— /( I <br />Subject Property Information <br />(Location of Application) <br />Address <br />OOo H W Y I o <br />Ki v/ , KAMSLS), A/ <br />PIN <br />,/v1 <br />Legal Description <br />Zoning District <br />Contact the Planning Division at 763-433-9824 or planninq@citvoframsev.com to request a Zoning Verification <br />