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is <br /> 1 <br /> Land Use Application <br /> . ...... .... <br /> MIN, <br /> ❑ Plat-Sketch PlanElPlat Plat Plat---Final y ❑ Plat <br /> ❑Administrative Plat Site Plan Review Easement Row Vacatio <br /> ❑ ❑ l n <br /> ;q Conditional Use Permit El ❑interim Use Permit Comprehensive Plan Amendment <br /> ❑zoning Amendment ❑ Home occupation PermitJ/ <br /> ❑ Dwelling Moving Permit Environmental PermitElRegistered Land S e❑ g u ry y <br /> ❑ Non-Traditional Animal License Beekeeping License ❑ Private Kennel License <br /> Applicant Contact Information <br /> Please note:All official communication will be routed through this contact. <br /> Name: 0 <br /> 1 <br /> lr <br /> Street Address: -a i�xLv1 1 f <br /> [/� ZIP: <br /> /�/► �: <br /> City,State, y 543 <br /> 103 <br /> . <br /> Home Phone: Work Phone: 6t`�. v -�, IL <br /> Email: <br /> ax Number: <br /> Ac>4�iu"'' s�6W 0R� 0 l ,. <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 /> I' <br /> Address � -- r <br /> Ste. N%AI <br /> PIN <br /> 0`7 0 0 6 <br /> Legal Description VN 0LN7`1 t 6 � U .SW tIL4 <br /> r , <br /> �{ V� WV� <br /> Zoning District EV I�J r. <br /> Contact the Planning Division at 763-433--9824 or planning cit o ramse .corn to request a,honing Verification <br /> . r <br />