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Land Use Appliration <br /> ❑ Plat—Sketch Plan ❑ Plat—Preliminary Plat ❑ Plat—Final Plat <br /> ❑Administrative Plat ❑Site Plan Review ❑ Easement/ROW Vacation <br /> Conditional Use Permit ❑ Interim Use Permit ❑Comprehensive Plan Amendment <br /> ❑Zoning Amendment ❑ Home Occupation Permit ❑Variance <br /> ❑ Dwelling Moving Permit ❑ Environmental Permit ❑Registered Land Survey <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: k <br /> Street Address: 16q%0 Q <br /> City,State,ZIP: '\?,A S 553 O-j <br /> Home Phone: i- tGG _ �(v rJ`'� Work Phone: <br /> Email: Fax Number: <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 0 arVlA- 5T �Vv <br /> PIN <br /> Legal Description <br /> Zoning District <br /> Contact the Planning Division at 763-�33-9824 or planninctC�cityoframsey.com to request a Zoning Verrfrcation <br />