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PERMIT FEE <br /> <br />DATE FEE PAID <br /> <br /> CITY OF R3%MSEY <br /> <br />ZONING USE PE~IIT APPLICATION <br /> <br />/___/ Rezoning <br /> <br />/___/ Mining <br /> <br />/___/ Grading or Filling <br /> <br />/___/ Sign <br /> <br />/__/ 0~er <br /> <br />/__/ Board of Adjustment <br />/~ondigional Use <br /> <br />/___/ Planned Unit Development <br /> <br />Name of Applicant:~ <br />Address: ~ ~ ~ /~Tj h'~f~ <br />City/State/Zip Code: <br /> <br />Brief description of the request:-~ <br /> <br />Date reviewed by Board of Adjustment/Planning and Zoning: <br /> <br />Comments on Reviewal: <br /> <br />Approval/Disapproval: <br /> <br />Reason for Disapproval: <br /> <br />Date of Approval: <br /> <br />I understand the fee for a variance, conditional use permit and rezoning if <br />approved or denied, is a non-refundable fee. I also accept the conditions of <br />this permit and all terms of the City ordinances which govern. I understand <br />that any changes from these plans must be resubmitted. <br /> <br /> Owner or Representative Date Zoning Administrator Date <br /> <br /> <br />