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PERMIT FEE <br /> <br />DATE FEE PAID <br /> <br /> CITY OF R/%MSEY <br /> <br />ZONING USE pE~IT APPLICATION <br /> <br />/~Board of Adjustment-'' <br />/___~Conditional Use <br /> <br /> planned Unit Development <br /> <br />/___/ Rezoning <br /> <br />/___/ Mining <br /> <br />/__~Grading or Filling <br /> <br />/___/ sign <br />/___/ other - <br /> <br />Name of Applicant:_~ <br /> <br />City/State/ZiP code: ~A,~E~/ <br /> <br /> Legal property Description: <br /> <br /> Brief description of the request: <br /> <br />Date reviewed by Board of Adjustment/plan~ing and Zoning: <br />Comments on Reviewal: <br /> <br />Approval/Disapproval: <br /> <br />Reason for Disapproval: <br /> <br />Date of ~proval: <br /> <br />1%~nderste-nd the fee for a variance, conditional u~e pe_-m,~t and rezoning if <br />approved or denied, is a non-refU~ndab!e fee. I also accept the conditions of <br />this permit e_nd al! re-~m~ of the City ordine-nces which gove---n. I understand <br />that any ch~-nges ~rom these pla~.s must be res'u-br-~tted' <br /> <br />--O~,~er o~ReP-~eSe.'-a'~ve Date Zonin~ A~--,-inistratcr <br /> <br /> <br />