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C <br />o~~~ <br />Q <br />Case Number: ~~ °~ ~ <br />General Planning Application <br />Temporary Sales/Storage of Fireworks <br />Property Informs//tion <br />Address: E ~~i ~[p ~rC~~r~ l~~~Ue-Parcel Number: %~ - ~~~ <br />Legal Description: (attach if necessary) <br />Applicant IAnformat~ion <br />Name: ~ f~ ~ ( 1(~E'~'K ~ E-mail address: U/m~'r~~~1~ T~ 1~~1c~`'~ S ` ~~ <br />Address: ~ ~ ~~ ~%~ l1-U~U2 c_,Ll . r~0 1(1~ .~ 4/~~ <br />Street ii // City ~ f State Zip Code <br />Address of Fireworks Sales: I ~~ ~LO ~~~~~ ` ~"~U~ <br />Dates of Fireworks Sales: <br />Phone: Business: <br />Description of Project <br />Please descrfibe your project/reason for yo regi <br />/rte., / .~/ ~ ~.~ n <br />~~~~~` <br />t. If necessary, attach a written narrative. <br />~~ ~ _ /~ ~?~i ii~~ <br />Site Plan <br />A site plan of the proposed location and layout of the temporary structure and its surroundings must <br />be submitted. <br />Site Plan completed and attached to application. <br />Agreement to Pay Costs of Review: <br /> <br />It is the policy of the City of Elk River to require applicants for land use approvals and <br />licenses to reimburse the city for costs incurred by the city in reviewing and acting upon <br />applications, so that these costs are not borne by the taxpayers of the city. These costs include all of <br />Street City State Zip Code <br />Phone (w): ~r~~Fax: Phone (h): <br />Signature: ~.)-~.~ ~~`,/ ~~~ Date: <br />