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n Plat —Sketch Plan <br />❑ Administrative Plat <br />El Conditional Use Permit <br />n Zoning Amendment <br />❑ Dwelling Moving Permit <br />(� Non -Traditional Animal License <br />❑ Easement Encroachment <br />Name: <br />Street Address: <br />City, State, ZIP: <br />Home Phone: <br />Email: <br />Name of Business (if <br />applicable): <br />Business Address (if applicable) <br />Business City, State, ZIP <br />Business Phone: <br />fl Plat —Preliminary Plat <br />Site Plan Review <br />n Interim Use Permit <br />E] Home Occupation Permit <br />fl Environmental Permit <br />ROW Vacation <br />n Easement Vacation <br />Land Use Ap1ication <br />0 Plat —Final Plat <br />❑ Administrative Site Plan Review <br />n Comprehensive Plan Amendment <br />❑ Variance <br />fl Registered Land Survey <br />n Private Kennel License <br />❑ Other <br />Applicant Contact Information <br />Please note: All official communication will be routed through this contact. <br />Nc0.4(‘ K(1110.k <br />\'\ Sk �lw <br />cimavvisef,ral 55m. <br />9'1 U <br />ivArtvgavic@t1I, COI Fax Number: <br />V/Vik VIt tY\ S <br />tS110 j \Tht st Y\V'J <br />S'N'ariliSti VIVC\ 55 2)0�i <br />c6511 <br />Work Phone: <br />Business Fax: <br />Subject Property Information <br />(Location of Application) <br />Address \'\\� ��p�,,�`� i\V) <br />j\ <br />PIN z� -;Z.- ZW <br />Legal Description Y� 11}kCd �mSty IVO��� W 21� �- OF 'C E 5_ Z45 cfi }�1 N IZ F <br />p �H� 5� ��� o� 'TM Z� -��5 MUM Ct�'I �Y11� Csuu +° ��o ��ti z�, ��`% <br />Contact the Planning Division at 763-433-9824 or planninci@citvoframsev.com to request a Zoning Verification <br />Zoning District13\4%1 tS\OLI\Vas <br />op) <br />