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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 />❑ Site Plan Review <br />❑ Easement/ROW Vacation <br />n Conditional Use Permit <br />n Interim Use Permit <br />❑ Comprehensive Plan Amendment <br />❑ Zoning Amendment <br />/ Home Occupation Permit <br />❑ Variance <br />n Dwelling Moving Permit <br />❑ Environmental Permit <br />❑ Registered Land Survey <br />n Non -Traditional Animal License <br />n Beekeeping License <br />❑ Private Kennel License <br />Applicant Contact Information <br />Please note: All official communication will be routed through this contact. <br />Name: <br />endy &�ufkheGh\— <br />Street Address: <br />14q juricY RA e Dr, N,V' <br />City, State, ZIP: <br />5 -❑3 <br />Home Phone: <br />i I2._(0' g-9(.05- (j <br />Work Phone: <br />(01101 3-c 5L <br />Email: <br />benckj, ( <br />Fax Number: <br />Name of Business (if <br />applicable): <br />rctilsLam <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 />5kM F <br />PIN <br />Legal Description <br />Zoning District <br />Contact the Planning Division at 763-433-9824 or planninq(aJcityo framsey.com to request a Zoning Verification <br />