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SOD <br /> 0 Do <br /> ............ <br /> 2023Land Use Application <br /> .............. <br /> ❑ Plat—Sketch Plan ❑ Plat—Preliminary Plat ❑ Plat—Final Plat <br /> ❑Administrative Plat ❑Site Plan Review ❑Administrative Site Plan Review <br /> r <br /> Q Conditional Use Permit ❑ interim Use Permit ❑ Comprehensive Plan Amendment <br /> ❑Zoning Amendment El Home Occupation Permit ElVariance <br /> Dwelling Moving Permit ❑ Environmental Permit ❑ Registered Land Survey <br /> Non-Traditional Animal License ❑ ROW Vacation ❑ Private Kennel License <br /> Easement Encroachment ❑ Easement Vacation EJ Other <br /> i <br /> Applicant Contact Information <br /> ' <br /> Please note:All official communication will be routed through this contact. <br /> Name: <br /> Street Address: <br /> City,State,ZIP: <br /> Home Phone: Work Phone: <br /> Email: � ��.�J11(1�01I�( &Wj1AJJ1,C0$Fax Number; <br /> Name of Business(if �p <br /> , applicable): r `�On St AW <br /> Business Address(if applicable) \C'11d <br /> Business City,State,ZIP �ZfmxllPO <br /> Business Phone: \-av �Gj Business Fax: <br /> df <br /> Subject Property Information <br /> (Location of Application) <br /> Address <br /> PIN <br /> Legal Description Y�� 5 t 0 SGG W � 5 W 0\� �} O� �SVZQ +°tK� ��ti(��C�\k Toff <br /> OF,� <br /> Zoning District <br /> Contact the Planning Division at 763-433-9824 or planning@cityQfromsey.com to request a Zoning Verification <br />