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~OIIdOy Companms <br /> <br />BRIAN A. ERICI~SON <br /> <br />PE~'~TN? P 492 <br /> <br />PE~ZTrE~ ~5oc~. <br /> <br /> CITY OF PJ%MSEY <br /> <br />USE pERMIT APPLICATION <br /> <br />/___~ Board of Adjustment <br /> <br />/__/ Conditional Use <br /> <br />/___TPlanned Unit Development <br /> <br />Name of Applicant: <br /> <br />/.__/ Rezoning <br />/___/ Mining <br /> <br />/__~ Grading or Filling <br /> <br />Legal Property Description: <br /> <br />Date reviewed by Board of Adjustment/planning and Zoning: <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 an~changes from these plans must be resubmitted. <br /> l!__.. ' <br /> L%,~, --~':~ - . - ~Zoni~g A~inistrator Date <br /> Own_er or Representative Da~e <br /> <br /> <br />