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c3DA <br />0739,(9p_ <br />Land Use Application <br />Ell Plat Sketch Plan <br />111 Administrative Plat <br />Conditional Use Permit <br />LI Zoning Amendment <br />Dwelling Moving Permit <br />El Non -Traditional Animal License <br />111 Plat — Preliminary Plat <br />Site Plan Review <br />El Interim Use Permit <br />fl Home Occupation Permit <br />El Environmental Permit <br />ri Beekeeping License <br />Ej Plat — Final Plat <br />El Easement/ROW Vacation <br />LI Comprehensive Plan Amendment <br />111 Variance <br />111 Registered Land Survey <br />El Private Kennel License <br />Applicant Contact Information <br />Please note: All official communication will be routed through this contact. <br />Name: <br />Street Address: <br />City, State, ZIP: <br />Home Phone: <br />Email: <br />Name of Business (if <br />applicable): <br />Business Address (if applicable) <br />Business City, State, ZIP <br />Business Phone: <br />0,\AsSk. riv() 1'0 5 JO tvC <br />(413 <br />on I clft\--\ Lco (0 w <br />Work Phone: <br />t rde_) 1-ta06)-10\c-j Fax Number: <br />Business Fax: <br />3 - 3 (4) -01143 <br />Address <br />PIN <br />Subject Property Information <br />(Location of Application) <br />5zo•-3 <br />(Lh te1/4.R0 1,4_1 olvtq 6e <br />Legal Description <br />Zoning District <br />Contact the Planning Division at 763-433-9824 or planninoPcitvoframsev.com to request a Zoning Verification <br />