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Ci 0 Land Use A 11cation <br /> Y_ <br /> ❑ <br /> F"SEY <br /> Plat—Sketch Plan ❑ Plat—Preliminary Plat ❑ Plat—Final Plat <br /> ❑Administrative Plat El Site Plan Review Easement/ROW Vacation <br /> ❑ Conditional Use Permit 0 interim Use Permit El Comprehensive Plan Amendment <br /> Q Zoning Amendment Home Occupation Permit El variance <br /> [:] Dwelling Moving Permit ❑ Environmental Permit El Registered Land Survey <br /> El Non-Traditional Animal License Beekeeping License El Private Kennel License <br /> Applicant Contact Information <br /> Please note:All official communication will be routed through this contact. <br /> Name: <br /> No <br /> Street Address: 2 ' N <br /> City, State,ZIP: eV, _22 <br /> Home Phone: Work Phone: <br /> Email: Fax Number: <br /> AZ4' J;o�49, 6 0 VO tt <br /> Name of Business (if <br /> applicable): <br /> Business Address (if applicable) <br /> Business City,State,ZIP <br /> Business Phone: Business Fax: <br /> Subject Property Information <br /> (Location of Application) <br /> Address <br /> PIN <br /> Legal Description <br /> Zoning District <br /> Contact the Planning Division at 763-433-9824 or plctnninq@cityofromsey.com to request a Zoning Verification <br />