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CLii uc w�nu r�„dv <br />=. =oFMENT APPLICATION FORM <br />Comnrehensi7e Plan Amendment <br />Zoning District Amendment <br />Text ,amendment <br />Conditional Use Permit <br />Variance <br />Appeals <br />Trailer Park <br />Site & Bldg. Plan Review <br />Mining Permits <br />Owner <br />Simple Lot Division <br />•Large Lot Suboivision <br />Subdivision <br />Sketch <br />—Preliminar^f <br />Final <br />Property location (Street Address and Legal Description): <br />P1 ID 7e <br />Subdivision Variance <br />Flood Plain Conditional Use <br />Permit <br />Shoreland Permit <br />Planned Unit Deselopment <br />Description and/or Reason for Request (Cite Ordinance Section): <br />f,9(X a O/' R_?o c -f 1 0C,_ s, <br />In signing this application, I hereby acknowledge that I have read and fully under— <br />stard the applicable provisions of the Zoning and Subdivision 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 per-taining to addition application expense. <br />