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CITY OF RAF~SEY <br /> <br />ZONING USE PEP~IT APPLICATION <br /> <br />/~ Board of Adjustment <br />/___/ Conditional Use <br /> <br />/_~ Planned Unit Development <br /> <br />~ame of Applicant: I~'1/ <br />~ddress: .~_7~-- <br /> <br />/___/ Rezoning <br /> <br />/___/ Mining <br /> <br />/~TGrading or Filling <br /> <br />/___/ Sign <br /> <br />/__/ Other <br /> <br />~City/S~ate/Zip Code: ~/~/~f.~J/,, /~'////~' ..' <br />'t,Legal Property Description: /_~'37- <br /> ~rief description of the request: <br /> <br />Date reviewed by Board of Adjustment/pls-nning and Zoning: <br /> <br />Comments on Reviewal: <br /> <br />Approval/Disapproval: Date of ~pproval: <br />Reason for Disapproval: <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 term~ of the City ordinances which govern. I understand <br />that any changes from these plans must be resubmitted. <br /> <br />'O~er or Representative Date Zoning Administrator Date <br /> <br /> <br />