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u jLjl VC '"a", <br />DE,'VEioFKENT APPLICATION FORM <br />Comnrehensi-re Plan Amendment Simple Lot Division -_ <br />Zoning District Amendment -.Large Lot Subdivision <br />f" Text Amendment Subdivision <br />Sketch <br />Conditional Use Permit Preliminary <br />(^/) Final <br />_4Variance <br />Subdivision Variance <br />Appeals "l I O 69 <br />` Flood Plain Conditional Use <br />Trailer Park S � ' Permit <br />Site & Bldg. Plan Review til, Shoreland Penmat <br />Mining Permits Planned Unit DetTelopment <br />Applicant <br />Owner <br />Name Address <br />Property location (Street Address and Legal Description): <br />Description and/or Reason for Request (Cite Ordinance Section): <br />A)60 AcKeS) . <br />In signing this application, I hereby acknowledge that I have read arxi fully under— <br />stand the applicable provisions of the Zoning and .Su'cdivision Ordinances and current <br />administrative procedures. I further acknowledge the fee explanation as outlined in <br />the application procedures and hereby agree to pay all statements received from the <br />City pertaining to addition application expense. <br />