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<br />RECEIVED <br /> <br />AUG 3 19Ba <br />An 'J <br />S Q.. <br />........... <br /> <br />PERMIT FEE <br /> <br />DATE FEE PAID <br /> <br />CITY OF RA!'.SEY <br />ZO~ING USE PER~IT APPLICATION <br /> <br />L-I Conditional Use <br />/ / planned Unit Development <br /> <br />/ / gining <br />/ / Grading or Filling <br /> <br />L-I Sign <br /> <br />!ffi. other5rk flAl'Il'll/ <br /> <br />L-I Board of Adjustn,ent <br /> <br />/ / Rezoning <br /> <br />Address: <br /> <br />7/~'jhkp-h(/J Q~. It(f:;.;! <br /> <br />IV/C)! -'7;: R-9-/./cI5 6.!_/d <br />, fl ~ -~~D~ <br />City/State/Zip Code: /"..c;/~ .?C :::;>::;>..- V <br /> <br />Legal property Description: 111/t?, '-'/161 U;?"f <br /> <br />Brief description o~ the request: 5 rk !?6:?~/ /J..lCf!oV.1< L h~ <br />,/ I V>.5 <br />(j( ffc III e t:JM' If 6-9--.4 h ~ /PLI,(LC; /7/>/ ;f. d - <br />I ' <br /> <br /> <br />Name of Applicant: <br /> <br />Date reviewed bv BJard <br />. I <br />Cor.~ents on Reviewal: <br /> <br />I <br />I <br /> <br />of AdjU5tment/Pl~~ning and zoning: <br /> <br />APproval/Disapprovfl: Date of Approval: <br /> <br />Reason for Disaooroval: <br /> <br />-- I <br />I <br />I <br /> <br />I ~~derst~~d the fee for a variance. conditional use permit ~~d rezoning if <br />approved or denied, is a non-ref~~dable fee. I also accept the conditions of <br />this permit and all te~s of the City ordin~~ces which govern. I understand <br />tha-:: a.,~y chances from these plans must be resulorni t-::ed. .' <br />c--(/ ~/R 4 1/1//11/ / . .-!./.,f!: I <br />__~~",f(l~)V0!1 5~3'?fCl /'J/JiJ0!/!l YIPJ:2 y.,/3;1.1 <br />O:~er or Recresentati~e Date Zoni~g ACrr.inistra-::or Date' <br />I -, ! / <br /> <br />57 <br />