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N.°P 471 <br /> <br />PERMIT FEE <br /> <br />DATE FEE PAID <br /> <br />/___~ Board of Adjustment <br />/___/ Conditional Use <br /> <br /> CITY OF R~SEY <br />ZONING USE PEk~IT APPLICATION <br /> <br />/___/ Rezoning <br />/__/ Mining <br /> <br />/_~ Planned Unit Development <br /> <br />/~--7 Grading or Filling <br /> <br />Name of Applicant: <br /> <br />Address: /° <br /> <br />City/State/Zip Code: <br /> <br />Legal Property Description: <br /> <br />Brief description of the request: <br /> <br />/~ign <br />/___/ Other <br /> <br /> , - W~-/-jo~ <br /> <br />Date reviewed by Board of Adjuatment/~lanning 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 /> O~ner-o~ Representative Date <br /> <br />~ing Admini~ tra~r <br /> <br /> <br />